Relationship Between Ideal Health Behaviors And Factors,Systemic Immune Inflammation Index And The Degree Of Disability In Patients With Cerebral Infraction

Objectives 1 To explore the influence of ideal health behaviors and factors and Systemic Immune-inflammation Index(SⅡ)on the degree of disability in patients with cerebral infarction.2 To explore the evaluation value of ideal health behaviors and factors and SⅡ on the disability degree of patients with cerebral infarction,and to provide scientific guidance for the prevention and development of disability in patients with cerebral infarction in clinical practice.Methods A case-control study was used to conveniently select 462 patients with moderate and severe disability after cerebral infarction admitted to the Department of Neurology of the Affiliated Hospital of North China University of Science and Technology from October 2019 to October 2020 as the case group,and 462 patients with mild disability after cerebral infarction admitted during the same period as the control group.The self-designed general data questionnaire,ideal health behaviors and factors questionnaire and clinical data questionnaire were used to investigate the general data,ideal health behaviors and factors,SⅡ and other clinical data of the patients by questionnaire survey and medical records collection.Excel was used to input the data,SPSS22.0 was used for statistical analysis,frequency and composition ratio were used for counting data,Chi-square test was used for single factor analysis,Logistic regression was used for multi factor analysis to analyze the relationship between ideal health behaviors and factors,SⅡ and disability degree of patients with cerebral infarction.The decision tree model was used to analyze the evaluation value of ideal health behaviors and factors and SⅡ in the disability degree of patients with cerebral infarction,and the error classification rate was used to test the decision tree model.Results 1 The results of Chi-square test showed that there were no statistically significant differences between the two groups in gender,education level,residence,marital status,medical payment form,total cholesterol,uric acid and homocysteine(P>0.05).There were statistically significant differences between the two groups in age,occupation,drinking,sleeping,the ideal health behaviors(Body Mass Index,smoking,exercise,salt intake)and factors(Blood Pressure,Fasting Blood-Glucose),SⅡ,mainly infarction area,number of attacks,the degree of limb dysfunction,combination of other chronic diseases and the carotid plaques(P<0.05).2 The results of stratified Logistic regression analysis showed that that ideal health behaviors(Body Mass Index,physical exercise,smoking),ideal health factors(Blood Pressure)and SⅡ were correlated with the disability degree of patients with cerebral infarction after adding control variables(P<0.05).High Body Mass Index,never doing physical exercise,smoking,abnormal Blood Pressure and high SⅡ level were risk factors for moderate and severe disability.The OR values were respectively 1.982,2.669,2.016,1.765,2.282,2.277,2.014.3 The results of the decision tree showed that ideal health behaviors(Body Mass Index,physical exercise,smoking)and SⅡ entered the nodes of the decision tree model,SⅡ was the root node.The error probability of the model in predicting the disability degree of patients with cerebral infarction was 39.6%.Conclusions 1 Ideal health behaviors(Body Mass Index,physical exercise,smoking)and factor(Blood Pressure)and SⅡ are associated with the degree of disability in patients with cerebral infarction.High Body Mass Index,never doing physical exercise,smoking,abnormal Blood Pressure and high SⅡ level are independent risk factors for moderate and severe degree of disability in patients with cerebral infarction.2 The decision tree model constructed by ideal health behaviors(Body Mass Index,physical exercise,smoking)and SⅡ has a certain value in evaluating the disability degree of patients with cerebral infarction.Figure 1;Table 10;Reference 161...