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目的探讨缺血性脑卒中及其急性卒中治疗低分子肝素试验(TOAST)分型与相关危险因素的关系。方法收集缺血性脑卒中病例841例(病例组),根据TOAST分型标准分为5个亚型;选择同期入院的739例非脑卒中患者作为对照组。分析缺血性脑卒中及各亚型的患病危险因素。结果与对照组比较,卒中组及各亚型在年龄增大、性别(男性)、肥胖、脑卒中家族史、疾病史(高血压、糖尿病等)、入院血压、白细胞计数、血脂水平等方面差异有统计学意义;多因素Logistic回归分析显示影响缺血性脑卒中及各亚型发病风险的危险因素不完全相同。结论对不同病因引起的缺血性脑卒中应采取不同的预防和治疗措施。
Objective To investigate the relationship between ischemic stroke and acute stroke treatment of low molecular weight heparin (TOAST) classification and related risk factors. Methods A total of 841 ischemic stroke cases (case group) were collected and divided into five subtypes according to the TOAST classification criteria. A total of 739 non-stroke patients admitted in the same period were selected as the control group. Analysis of risk factors for ischemic stroke and subtypes. Results Compared with the control group, the stroke group and subtypes were different in age, gender (male), obesity, family history of stroke, history of disease (hypertension, diabetes, etc.), admission blood pressure, white blood cell count and blood lipid level There was statistical significance. Multivariate Logistic regression analysis showed that the risk factors affecting the incidence of ischemic stroke and subtype were not identical. Conclusion Different preventive and curative measures should be taken for ischemic stroke caused by different causes.