摘要
目的探讨包括中医证候演变特点在内的多种复发因素对于缺血性中风的影响。方法前瞻性收集339例急性期缺血性中风病患者资料,随访1年,运用Cox回归分析多种可能因素对于缺血性中风复发的影响。结果缺血性中风患者1年复发率为11.7%(39/333),大动脉粥样硬化性脑梗死复发风险是小动脉闭塞性脑梗死的2.573倍,恢复期阴虚阳亢证显现的患者复发风险是未显现患者的3.991倍,男性复发风险是女性的2.74倍,急性期使用中药汤剂患者复发风险是未使用患者的34.3%。结论大动脉粥样硬化性脑梗死、男性患者、缺血性中风恢复期阴虚阳亢证的显现是中风复发的独立危险因素,急性期中药汤药治疗是复发的保护性因素。
Objective It is to explore the effects of multiple recurrence factors including the Changes of TCM syndrome elements evolution on ischemic stroke. Methods A prospective collection of 339 patients with acute ischemic stroke was followed up for 1 year. Cox regression was used to analyze the effects of various possible factors on the recurrence of ischemic stroke. Results The 1-year recurrence rate of ischemic stroke patients was 11.7%(39/333). The risk of recurrence of large atherosclerotic cerebral infarction was 2.573 times that of small arterial occlusive cerebral infarction. The risk was 3.991 times that of unexplained patients, and the risk of male recurrence was 2.74 times that of females. In the acute phase, the risk of recurrence in patients with traditional Chinese medicine decoction was 34.3% of patients who did not use it. Conclusion Large atherosclerotic cerebral infarction, male patients, ischemic stroke recovery during the appearance of YinxuYangkang pattern is an independent risk factor for stroke recurrence, taking Chinese medicine decoction timely during the acute stage is a protective factor for recurrence.
引文
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