The Study Of The Associated Factors Of Recurrence Ischemic Stroke

Objective: To study the associated factors of recurrence ischemic stroke and to provide scientific basis for improve prognosis of ischemic stroke.Methods: To choice 150 inpatients with ischemic stroke during April 2006 to April 2007 in our hospital. Then they were followed up one year. All subjects were asked if recur ischemic stroke and the time gap from first diagnosed ischemic stroke to recur ischemic stroke, then examined by neurologists. The standard of subjects were initial ischemic stroke patients and had no other history of neural disease or uraemia. Also subjects must had clearly consciousness and normally cognize. But if the subjects had hemorrhagic stroke or had not only ischemic stroke but also hemorrhagic stroke must be excluded. All the subjects asked by neurologists. The main contents of questionnaire include that demography like name, age, sex, nationality, occupation, diploma, marriage, character; risk factors like family history of disease, hypertension, diabetes, hyperlipidemia, coronary heart disease, TIA, stroke, smoking, drinking, BMI,dietetic factors, obesity; therapy like if take regularity therapy, if take cerebrovascular examine, the level of hospital, if follow up and so on. The items of examine include that blood sugar blood lipidsetc, urinary albumin, cardiogram and so on. We compared and analyzed the risk factors between the recurrence group and the non-recurrence group using spss13.0 statistic analysis software. The statistic methods which used include that Chi-square test, t test and the Cox regression.Result: There were six independent risk factors of ischemic stroke by t test and Chi-square test which were male (P=0.003), family history of stroke (P=0.001), hyperlipidemia (P=0), diabetes(P=0.04), urinary albumin positive (P=0.02), urine acetone bodies ( P=0.04 ), abnormal ECG (P=0.005). Cox regression analysis showed that male, diabetes and urinary albumin were the risk factors of recurrence ischemic stroke.Conclusion: Sex, family history of stroke, hyperlipoproteinemian, diabetes, urinary albumin, urine acetone bodies and abnormal ECG may be the risk factors in recurrent ischemic stroke. So it is very important to control blood sugar and blood lipidemia in order to prevent the recurrence.