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目的探讨脑卒中复发的影响因素,以此为脑卒中复发的预防提供参考依据。方法选取福建龙岩市第二医院2012年1月至2015年12月确诊的496例脑卒中新发病例为调查对象,收集病例资料及随访资料,进行脑卒中复发的单因素和多因素Cox回归分析。结果本组脑卒中患者复发79例,复发率为15.93%;影响脑卒中复发的独立因素为高血压史、短暂性脑缺血发作(TIA)、脑卒中家族史、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平等(P<0.05)。结论控制复发因素,定期监控血脂水平,培养良好的生活习惯,有助于预防脑卒中复发。
Objective To explore the influencing factors of stroke recurrence and provide a reference for the prevention of recurrent stroke. Methods A total of 496 newly diagnosed stroke cases from January 2012 to December 2015 in Second Hospital of Longyan City of Fujian Province were selected as the subjects and data of cases and follow-up were collected to investigate the single and multi-factor Cox regression analysis of stroke recurrence . Results The recurrence rate was 15.93% in 79 patients with stroke. The independent factors influencing the recurrence of stroke were history of hypertension, transient ischemic attack (TIA), family history of stroke, total cholesterol (TC), low The level of LDL-C and so on (P <0.05). Conclusions The control of recurrent factors, regular monitoring of blood lipid levels, good habits of life, help to prevent recurrent stroke.