Analysis of the risk factors related to early neurological deterioration in patients with recurrent cerebral infarction
10.3969/j.issn.1006-5725.2016.07.001
- VernacularTitle:复发性脑梗死患者发生早期神经功能恶化的相关危险因素分析
- Author:
Yu ZHANG
;
Man CHENG
;
Yuanrong YAO
- Publication Type:Journal Article
- Keywords:
Cerebral infarction;
Recurrence;
Neurological deterioration;
Risk factors
- From:
The Journal of Practical Medicine
2016;32(7):1037-1040
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors related to early neurological deterioration (END) in patients with recurrent cerebral infarction (RCI). Methods Three hundreds and twenty-six RCI patients admitted to our hospital from January 2014 to March 2015 were divided into END group (n = 66) and non-END group (n =260). The clinical and laboratory data were collected, and their cerebrovascular lesions were accessed according to the angiographic findings. Results (1) Single factor analysis showed the level of cholesterol was significantly higher in the END group than that of the non-END group (P < 0.05). The proportion of patients suffering from smoking, arterial occlusions, early onset stroke associated pneumonia (SAP) and hyponatremia was also higher in the END group (all P < 0.05). (2) Logistic regression analysis showed that arterial occlusions (OR = 2.137, 95%CI 1.093~4.181), SAP (OR=2.001, 95%CI 1.023~3.912) and hyponetremia (OR=2.467, 95%CI 1.217~ 5.000) were independent risk factors for END of RCI patients (all P < 0.05). Conclusion Arterial occlusions, SAP and hyponatremia may be used as predictors of the early development of RCI patients.
