Study on risk factors and correlativity of prognosis in patients with large artery atherosclerosis wake-up strok
Abstract：Objective To study the risk factors and prognosis factors in patients with large artery atherosclerosis wake-up stroke.Methods Patients with acute cerebral infarction who received therapy from January 2017 to January 2018 in our hospital were selected.According to the results of CT and MRI image data,CISS classification and timecourse of cerebral infarction,the patients were divided into large artery atherosclerosis wake-up stroke group(100)and large artery atherosclerosis waking stroke group(100).NIHSS score,age,gender,family history,hypertension,diabetes,hyperlipidemia,transient ischemic attack(TIA),history of smoking,drinking alcohol,high homocysteine levels in two groups were analzyed.The proportion of the factors in the two groups was calculated as a risk factor.All selected patients were followed up for 3 months and the NIHSS score and mortality were statistically calculated.Results By the analysis of type in the waking stroke and wake-up strok,stroke of gender,age,diabetes were the risk factors of wake-up stroke.After three months,NIHSS scores were significantly lower in both groups,and the scores was significantly higher in the wake-up sroke group than those in waking stroke group(P＜0.05).The mortality of wake-up stroke group was 3.00％,and the mortality rate of waking stroke group was 4％,and the difference between the two groups was not statistically significant(P ＞0.05).After Cox regression analysis,age was an independent risk factor of the prognosis of stroke patients(P ＜ 0.05).Conclusion There are many risk factors for wake-up stroke and waking stroke,their gender,age,diabetes is a risk factor for stroke,age is an independent risk factor affecting the prognosis of patients,lead to awakening type type and awakening cycle after stroke incidence rate is higher,neural functional recovery is poorer,video observation as far as possible to the use of intravenous thrombolysis treatment mode is of important clinical significance.
Keywords：Large artery atherosclerosis wake-up strokRisk factorsPrognosis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 194-197 )