深圳市急性缺血性脑卒中复发的危险因素及风险评估

doi:10.3969/j.issn.1006-5253.2021.02.003

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Abstract Objective To analyze the risk factors for recurrence of acute ischemic stroke (AIS) and assess the risk of recurrence. Methods Based on the historical medical record data, a retrospective study with 1 779 new hospitalized AIS cases (age≥ 8 years) admitted in a hospital from 2011 to 2017 was carried out, and AIS recurrence in Shenzhen was assessed based on a multivariate cox regression model.Results Hypertension (HR=2.862), drinking history (HR=1.002), NIHSS≥4 points (HR=2.868) and Essen≥3 points (HR=2.997-4.743) were high-risk predictors of recurrence in AIS patients (P<0.05). Conclusion Hypertension, drinking history, high NIHSS and Essen scores are risk factors for AIS recurrence. Early screening and strengthening management of AIS patients is the key to preventing AIS recurrence.

Key words： acute ischemic stroke recurrence risk factor risk assessment Shenzhen

Received: 14 September 2020

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	Articles by authors
	Li Xiaoling
	Yang Fen
	Ye Yiyi
	Su Jianjun
	Zhang Zhi

Cite this article:

Li Xiaoling,Yang Fen,Ye Yiyi, et al. Risk factors and risk assessment of recurrence of acute ischemic stroke in Shenzhen[J]. journal1, 2021, 28(2): 105-107.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2021.02.003 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2021/V28/I2/105

［1］中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组．中国急性缺血性脑卒中诊治指南2018［J］．中华神经科杂志，2018，51(9)：666-682．
［2］王伟英,桑文文,焉双梅,等.急性缺血性脑卒中患者1年复发危险因素Cox回归分析［J］.中华老年心脑血管病杂志,2016,18(1):46-50.
［3］WANG W Z, JIANG B, SUN H X, et al. Prevalence, incidence, and mortality of stroke in China: Results from a nationwide population-based survey of 480 687 adults［J］. Circulation, 2017, 135(8):759-771.
［4］EUN M Y, SEO W K, LEE J, et al. Age-dependent predictors for recurrent stroke: The paradoxical role of triglycerides［J］. Eur Neurol, 2013, 69(3):171-178.
［5］YANG G H, WANG Y, ZENG Y X, et al. Rapid health transition in China, 1990-2010: Findings from the Global Burden of Disease Study 2010［J］. Lancet, 2013, 381(9882):19872015.
［6］BORIANI G, GLOTZER T V, SANTINI M, et al. Devicedetected atrial fibrillation and risk for stroke: An analysis of >10 000 patients from the SOS AF project (Stroke preventiOn Strategies based on Atrial Fibrillation information from implanted devices)［J］. Eur Heart J, 2014, 35(8):508-516.
［7］AMIANO P, CHAMOSA S, ETXEZARRETA N, et al. Unprocessed red meat and processed meat consumption and risk of stroke in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC)［J］. Eur J Clin Nutr, 2016, 70(3):313-319.
［8］甘勇.深圳市社区居民脑卒中影响因素分析及风险评估模型研究［D］.武汉：华中科技大学,2017. 
［9］龙秀英,曾倩,李秋茹.缺血性卒中复发危险因素分析及风险评估［J］.中国现代神经疾病杂志,2016,16(7):442-446.
［10］陈红兵，洪华，刘刚，等．青年缺血性卒中或短暂性脑缺血发作患者卒中复发风险及其预测因子［J］．中国脑血管病杂志，2015，12(9)：462-467．
［11］JOHNSTON S C, ROTHWELL P M, NGUYENHUYNH M N, et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack［J］. Lancet, 2007, 369(9558):283-292.
［12］ROTHWELL P M, GILES M F, FLOSSMANN E, et al. A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack［J］. Lancet, 2005, 366(9479):29-36.
［13］MERWICK A, ALBERS G W, AMARENCO P, et al. Addition of brain and carotid imaging to the ABCD-2 score to identify patients at early risk of stroke after transient ischaemic attack: A multicentre observational study［J］. Lancet Neurol, 2010, 9(11):1060-1069.
［14］SONG B, FANG H, ZHAO L, et al. Validation of the ABCD3I score to predict stroke risk after transient ischemic attack［J］. Stroke, 2013, 44(5):1244-1248.
［15］唐珊,李俐,赵娅蓉.不同性别缺血性脑卒中病人复发风险调查［J］.护理研究,2017,31(23):2940-2941.
［16］唐美莲.中国脑卒中住院患者危险因素分布特征、首发患者四年累积复发率及其影响因素的研究［D］.北京：首都医科大学,2016.
［17］王会军. 缺血性卒中复发风险评估［D］. 石家庄：河北医科大学,2011.
［18］栾梅,文治成.急性缺血性脑卒中患者复发危险因素分析及预后指数模型构建［J］.临床急诊杂志,2016,17(8):610-613.
［19］安雅臣,王玉浔,张江,等.缺血性脑卒中复发预测模型的构建及应用［J］.实用医学杂志,2013,29(7):1095-1097.
［20］周海滨,池洪珊,熊静帆,等.深圳居民脑卒中发病与死亡监测分析［J］.中国慢性病预防与控制,2008，16(3):236-238.
［21］深圳市科技创新委员会, 深圳市生命科学与生物技术协会.深圳市心脑血管病研究报告:2015［R/OL］.2016:6-9［2020-09-14］. http://stic.sz.gov.cn/kjfw/rkx/rkxcgsjk/201711/P0201711033335-28350309.pdf.