The Secondary Prevention And Recurrence Factors In 196 Patients With Ischemia Stroke

Objective:To investigate the secondary prevention status of primary ischemia stroke patients in Shandong Rongjun General Hospital.To analyze the recurrence factors, and to control risk factors.Do well in secondary prevention and prevent recurrence.Methods:A total of 196 patients with primary ischemia stroke was included and analyzed in Shandong Rongjun General Hospital from June 2012 to July 2014, with the data of general information:age, gender, family history,ethnic background. Lifestyle information:smoking, drinking, hours of sleep. With disease information:persistent atrial fibrillation,hypertension,paroxysmal atrial fibrillation, Type 2 Diabetes, hyperlipidemia, hyperuricemia, obesity or overweight.The information of drug intervention:Antiplatelet drugs, statins, promoting blood circulation and removing blood stasis therapy. One year of follow-up, patients with recurrent ischemic stroke in 36 cases as case group, no recurrence in 160 cases as control group, comparative analysis of the clinical data of patients.Results:A total of 196 patients with ischemic stroke were investigated, of which 46.94% were female and 53.06% were male. In the survey, accounting for 52.04% of patients with large artery atherosclerosis stroke, cardiogenic Cerebral Embolism patients accounted for 12.24%, accounting for 35.72% of patients with Lacunar infarction. Family history accounted for 32.65%,180 of the Han population, accounting for 91.84%,16 of the Hui, accounting for 8.16%. Patients with smoking accounted for 34.69%(of which 45.59% patients quit smoking),44.39% of the drinking patients (of which 58.62% of patients dry out), sleep disorders accounted for 63.27%.70.41% of the patients with hypertension (including 28.26% patients blood pressure control below the 140/90mmHg),37.24% of patients have Type 2 Diabetes (42.47%patients had HbA1c control below 7.0%),39.79% of patients with hyperlipidemia (which 51.28% of patients with blood lipid standards),14.29% of the patients with hyperuricemia (39.29% of patients with normal serum uric acid), 72.96% of the patients with obesity or overweight (only23.78% of the body mass index (BMI) dropped to below 24).8.16% of patients with persistent atrial fibrillation, 4.08% of the patients with paroxysmal atrial fibrillation. After the incidence of patients,oral antiplatelet aggregation drug patients accounted for 80.61%, oral statin patients accounted for 67.86%, oral blood circulation drugs accounted for 32.14%. After 1 years of follow-up,36 cases of ischemic stroke recurrence, recurrence rate was 18.37%. In case group and control group, gender, Han and Hui no statistical difference (P>0.05); age, family history, smoking, drinking, hypertension, diabetes, hyperlipemia, overweight or obese, continuous atrial fibrillation, paroxysmal atrial fibrillation, by statistical analysis, the difference is significant (P<0.05); taking antiplatelet aggregation drugs, statins, promoting blood circulation and removing blood stasis drugs, by statistical analysis, the difference is significant (P<0.05); quit smoking, quit drinking, hypertension control, control of diabetes, high blood lipids control, high uric acid control, weight control, by statistical analysis, the difference is significant (P<0.05). After logistic regression analysis, smoking, hypertension, diabetes mellitus and hyperuricemia were the risk factors of ischemic stroke recurrence (P<0.05).Conclusion:The largest proportion is large artery atherosclerosis stroke in patients with ischemic stroke. Bad living habits change rate is low in patients. Sleep disorder exists in more than half of the patients after the onset of the disease.The control rate of risk factors of patients with hypertension, obese or overweight, hyperlipidemia, hyperuricemia and other risk factors is not high. The secondary prevention of ischemic stroke patients were taking medication.The proportion of anti platelet aggregation and statins in the investigation of secondary prevention of patients with ischemic stroke needs to be further improved. In patients with ischemic stroke by quitting smoking and drinking, blood pressure control, blood glucose control, blood lipid control, reduce weight, taking antiplatelet, statin drugs, blood circulation drugs for the prevention of recurrent ischemic stroke has a positive effect.