Chinese General Practice ›› 2024, Vol. 27 ›› Issue (14): 1692-1698.DOI: 10.12114/j.issn.1007-9572.2023.0847
Special Issue: 脑健康最新研究合集
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Received:
2023-11-26
Revised:
2024-01-20
Published:
2024-05-15
Online:
2024-03-22
Contact:
YANG Yu
通讯作者:
杨玉
作者简介:
基金资助:
CLC Number:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0847
变量 | 非复发组(n=210) | 复发组(n=70) |
---|---|---|
年龄( | 71.6±6.2 | 72.8±6.9 |
性别[例(%)] | ||
男 | 132(62.9) | 44(62.9) |
女 | 78(37.1) | 26(37.1) |
运动情况[例(%)] | ||
否 | 104(49.5) | 37(52.9) |
是 | 106(50.5) | 33(47.1) |
高血压[例(%)] | ||
否 | 156(74.3) | 39(55.7) |
是 | 54(25.7) | 31(44.3) |
LDL-C[例(%)] | ||
<4.1 mmol/L | 157(74.8) | 46(65.7) |
≥4.1 mmol/L | 53(25.2) | 24(34.3) |
肥胖[例(%)] | ||
否 | 124(59.0) | 34(48.6) |
是 | 86(41.0) | 36(51.4) |
NIHSS评分[例(%)] | ||
1分 | 68(32.4) | 18(25.7) |
2分 | 71(33.8) | 26(37.1) |
3分 | 71(33.8) | 26(37.1) |
心房颤动[例(%)] | ||
无 | 191(91.0) | 60(85.7) |
有 | 19(9.0) | 10(14.3) |
HbA1c[例(%)] | ||
<6.5% | 106(50.5) | 31(44.3) |
≥6.5% | 104(49.5) | 39(55.7) |
应激性血糖[例(%)] | ||
<10 mmol/L | 142(67.6) | 32(45.7) |
≥10 mmol/L | 68(32.4) | 38(54.3) |
受教育程度[例(%)] | ||
高中以下 | 102(48.6) | 41(58.6) |
高中及高中以上 | 108(51.4) | 29(41.4) |
家庭月收入[例(%)] | ||
<10 000元 | 102(48.6) | 40(57.1) |
≥10 000元 | 108(51.4) | 30(42.9) |
SHR[例(%)] | ||
≤1.04 | 152(72.4) | 33(47.1) |
>1.04 | 58(27.6) | 37(52.9) |
SHR( | 1.11±0.37 | 1.29±0.41 |
Table 1 Analysis of 1-year recurrence in elderly patients with mild AIS with different baseline data
变量 | 非复发组(n=210) | 复发组(n=70) |
---|---|---|
年龄( | 71.6±6.2 | 72.8±6.9 |
性别[例(%)] | ||
男 | 132(62.9) | 44(62.9) |
女 | 78(37.1) | 26(37.1) |
运动情况[例(%)] | ||
否 | 104(49.5) | 37(52.9) |
是 | 106(50.5) | 33(47.1) |
高血压[例(%)] | ||
否 | 156(74.3) | 39(55.7) |
是 | 54(25.7) | 31(44.3) |
LDL-C[例(%)] | ||
<4.1 mmol/L | 157(74.8) | 46(65.7) |
≥4.1 mmol/L | 53(25.2) | 24(34.3) |
肥胖[例(%)] | ||
否 | 124(59.0) | 34(48.6) |
是 | 86(41.0) | 36(51.4) |
NIHSS评分[例(%)] | ||
1分 | 68(32.4) | 18(25.7) |
2分 | 71(33.8) | 26(37.1) |
3分 | 71(33.8) | 26(37.1) |
心房颤动[例(%)] | ||
无 | 191(91.0) | 60(85.7) |
有 | 19(9.0) | 10(14.3) |
HbA1c[例(%)] | ||
<6.5% | 106(50.5) | 31(44.3) |
≥6.5% | 104(49.5) | 39(55.7) |
应激性血糖[例(%)] | ||
<10 mmol/L | 142(67.6) | 32(45.7) |
≥10 mmol/L | 68(32.4) | 38(54.3) |
受教育程度[例(%)] | ||
高中以下 | 102(48.6) | 41(58.6) |
高中及高中以上 | 108(51.4) | 29(41.4) |
家庭月收入[例(%)] | ||
<10 000元 | 102(48.6) | 40(57.1) |
≥10 000元 | 108(51.4) | 30(42.9) |
SHR[例(%)] | ||
≤1.04 | 152(72.4) | 33(47.1) |
>1.04 | 58(27.6) | 37(52.9) |
SHR( | 1.11±0.37 | 1.29±0.41 |
变量 | 赋值 |
---|---|
因变量 | 复发=1,非复发=0 |
年龄 | 实测值 |
性别 | 男性=1,女性=0 |
运动情况 | 是=1,否=0 |
高血压史 | 是=1,否=0 |
LDL-C | <4.1 mmol/L=1,≥4.1 mmol/L=2 |
肥胖 | 否=1,是=2 |
心房颤动 | 有=1,无=0 |
HbA1c | <6.5%=1,≥6.5%=2 |
应激性血糖 | <10 mmol/L=1,≥10 mmol/L=2 |
受教育程度 | 高中以下=1,高中及高中以上=2 |
家庭月收入 | <10 000元=1,≥10 000元=2 |
SHR | ≤1.04=1,>1.04=2 |
SHR | 实测值 |
Table 2 Assignment table for conditional Logistic regression analysis of the influencing factors of 1-year relapse in elderly patients with mild AIS
变量 | 赋值 |
---|---|
因变量 | 复发=1,非复发=0 |
年龄 | 实测值 |
性别 | 男性=1,女性=0 |
运动情况 | 是=1,否=0 |
高血压史 | 是=1,否=0 |
LDL-C | <4.1 mmol/L=1,≥4.1 mmol/L=2 |
肥胖 | 否=1,是=2 |
心房颤动 | 有=1,无=0 |
HbA1c | <6.5%=1,≥6.5%=2 |
应激性血糖 | <10 mmol/L=1,≥10 mmol/L=2 |
受教育程度 | 高中以下=1,高中及高中以上=2 |
家庭月收入 | <10 000元=1,≥10 000元=2 |
SHR | ≤1.04=1,>1.04=2 |
SHR | 实测值 |
变量 | B | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
年龄 | 0.411 | 0.141 | 4.39 | <0.001 | 1.508 | 1.255~1.812 |
性别 | — | — | — | — | 1.000 | — |
运动情况 | 0.131 | 0.240 | 0.48 | 0.632 | 0.877 | 0.513~1.499 |
高血压史 | 0.745 | 0.574 | 2.73 | 0.006 | 2.106 | 1.234~3.594 |
LDL-C | 0.391 | 0.415 | 1.39 | 0.164 | 1.478 | 0.852~2.564 |
肥胖 | 0.379 | 0.385 | 1.44 | 0.150 | 1.461 | 0.872~2.448 |
NIHSS评分 | 0.163 | 0.208 | 0.92 | 0.357 | 1.177 | 0.832~1.665 |
心房颤动 | 0.511 | 0.695 | 1.23 | 0.220 | 1.667 | 0.736~3.772 |
HbA1c | 0.264 | 0.372 | 0.92 | 0.355 | 1.302 | 0.744~2.279 |
应激性血糖 | 0.932 | 0.745 | 3.17 | 0.002 | 2.538 | 1.428~4.512 |
受教育程度 | 0.379 | 0.186 | 1.39 | 0.163 | 0.685 | 0.402~1.166 |
家庭月收入 | 0.327 | 0.196 | 1.20 | 0.228 | 0.721 | 0.424~1.228 |
SHR | 1.010 | 0.774 | 3.59 | <0.001 | 2.747 | 1.581~4.771 |
SHR(连续变量) | 1.242 | 1.280 | 3.34 | 0.001 | 3.460 | 1.668~7.161 |
Table 3 Univariate conditional Logistic regression analysis of the influencing factors of 1-year relapse in elderly patients with mild AIS
变量 | B | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
年龄 | 0.411 | 0.141 | 4.39 | <0.001 | 1.508 | 1.255~1.812 |
性别 | — | — | — | — | 1.000 | — |
运动情况 | 0.131 | 0.240 | 0.48 | 0.632 | 0.877 | 0.513~1.499 |
高血压史 | 0.745 | 0.574 | 2.73 | 0.006 | 2.106 | 1.234~3.594 |
LDL-C | 0.391 | 0.415 | 1.39 | 0.164 | 1.478 | 0.852~2.564 |
肥胖 | 0.379 | 0.385 | 1.44 | 0.150 | 1.461 | 0.872~2.448 |
NIHSS评分 | 0.163 | 0.208 | 0.92 | 0.357 | 1.177 | 0.832~1.665 |
心房颤动 | 0.511 | 0.695 | 1.23 | 0.220 | 1.667 | 0.736~3.772 |
HbA1c | 0.264 | 0.372 | 0.92 | 0.355 | 1.302 | 0.744~2.279 |
应激性血糖 | 0.932 | 0.745 | 3.17 | 0.002 | 2.538 | 1.428~4.512 |
受教育程度 | 0.379 | 0.186 | 1.39 | 0.163 | 0.685 | 0.402~1.166 |
家庭月收入 | 0.327 | 0.196 | 1.20 | 0.228 | 0.721 | 0.424~1.228 |
SHR | 1.010 | 0.774 | 3.59 | <0.001 | 2.747 | 1.581~4.771 |
SHR(连续变量) | 1.242 | 1.280 | 3.34 | 0.001 | 3.460 | 1.668~7.161 |
模型 | 指标 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|---|
模型1 | 应激性血糖 | 0.932 | 0.293 | 10.077 | 0.002 | 2.538 | 1.428~4.512 |
SHR | 1.010 | 0.282 | 12.867 | <0.001 | 2.747 | 1.581~4.771 | |
模型2 | 应激性血糖 | 1.018 | 0.320 | 10.110 | 0.001 | 2.768 | 1.478~5.184 |
SHR | 1.075 | 0.303 | 12.562 | <0.001 | 2.931 | 1.617~5.312 | |
模型3 | 应激性血糖 | 1.022 | 0.321 | 10.165 | 0.001 | 2.780 | 1.483~5.212 |
SHR | 1.086 | 0.304 | 12.734 | <0.001 | 2.962 | 1.631~5.378 | |
模型4 | 应激性血糖 | 1.072 | 0.340 | 9.961 | 0.002 | 2.920 | 1.501~5.682 |
SHR | 1.170 | 0.323 | 13.170 | <0.001 | 3.224 | 1.713~6.066 | |
模型5 | 应激性血糖 | 1.093 | 0.355 | 9.492 | 0.002 | 2.983 | 1.488~5.977 |
SHR | 1.117 | 0.337 | 10.994 | 0.001 | 3.056 | 1.579~5.914 |
Table 4 Multivariate conditional Logistic regression analysis of the influencing factors of 1-year relapse in elderly patients with mild AIS
模型 | 指标 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|---|
模型1 | 应激性血糖 | 0.932 | 0.293 | 10.077 | 0.002 | 2.538 | 1.428~4.512 |
SHR | 1.010 | 0.282 | 12.867 | <0.001 | 2.747 | 1.581~4.771 | |
模型2 | 应激性血糖 | 1.018 | 0.320 | 10.110 | 0.001 | 2.768 | 1.478~5.184 |
SHR | 1.075 | 0.303 | 12.562 | <0.001 | 2.931 | 1.617~5.312 | |
模型3 | 应激性血糖 | 1.022 | 0.321 | 10.165 | 0.001 | 2.780 | 1.483~5.212 |
SHR | 1.086 | 0.304 | 12.734 | <0.001 | 2.962 | 1.631~5.378 | |
模型4 | 应激性血糖 | 1.072 | 0.340 | 9.961 | 0.002 | 2.920 | 1.501~5.682 |
SHR | 1.170 | 0.323 | 13.170 | <0.001 | 3.224 | 1.713~6.066 | |
模型5 | 应激性血糖 | 1.093 | 0.355 | 9.492 | 0.002 | 2.983 | 1.488~5.977 |
SHR | 1.117 | 0.337 | 10.994 | 0.001 | 3.056 | 1.579~5.914 |
分类 | 模型 | 指标 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|---|---|
糖尿病人群 | 模型1 | 应激性血糖 | 1.131 | 0.572 | 3.913 | 0.048 | 3.099 | 1.010~9.503 |
SHR | 1.073 | 0.507 | 4.484 | 0.034 | 2.924 | 1.083~7.891 | ||
模型2 | 应激性血糖 | 1.136 | 0.571 | 3.961 | 0.047 | 3.113 | 1.017~9.527 | |
SHR | 1.155 | 0.518 | 4.972 | 0.026 | 3.174 | 1.150~8.761 | ||
模型3 | 应激性血糖 | 1.122 | 0.568 | 3.901 | 0.048 | 3.072 | 1.009~9.359 | |
SHR | 1.127 | 0.524 | 4.635 | 0.031 | 3.088 | 1.106~8.618 | ||
模型4 | 应激性血糖 | 1.063 | 0.603 | 3.111 | 0.078 | 2.894 | 0.889~9.429 | |
SHR | 1.097 | 0.542 | 4.090 | 0.043 | 2.995 | 1.034~8.670 | ||
模型5 | 应激性血糖 | 1.290 | 0.708 | 3.327 | 0.068 | 3.634 | 0.908~14.544 | |
SHR | 1.324 | 0.666 | 3.955 | 0.047 | 3.757 | 1.019~13.845 | ||
非糖尿病人群 | 模型1 | 应激性血糖 | 0.853 | 0.348 | 6.027 | 0.014 | 2.347 | 1.188~4.639 |
SHR | 0.982 | 0.340 | 8.346 | 0.004 | 2.670 | 1.371~5.198 | ||
模型2 | 应激性血糖 | 1.037 | 0.427 | 5.895 | 0.015 | 2.821 | 1.221~6.517 | |
SHR | 0.968 | 0.395 | 6.012 | 0.014 | 2.633 | 1.214~5.708 | ||
模型3 | 应激性血糖 | 1.030 | 0.428 | 5.797 | 0.016 | 2.802 | 1.211~6.482 | |
SHR | 0.965 | 0.395 | 5.962 | 0.015 | 2.626 | 1.210~5.698 | ||
模型4 | 应激性血糖 | 1.382 | 0.493 | 7.870 | 0.005 | 3.983 | 1.517~10.458 | |
SHR | 1.433 | 0.463 | 9.575 | 0.002 | 4.193 | 1.691~10.396 | ||
模型5 | 应激性血糖 | 1.210 | 0.517 | 5.476 | 0.019 | 3.355 | 1.217~9.247 | |
SHR | 1.141 | 0.505 | 5.095 | 0.024 | 3.129 | 1.162~8.427 |
Table 5 Multivariate Logistic regression analysis of factors affecting the 1-year recurrence of mild AIS in elderly patients with or without a history of diabetes
分类 | 模型 | 指标 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|---|---|
糖尿病人群 | 模型1 | 应激性血糖 | 1.131 | 0.572 | 3.913 | 0.048 | 3.099 | 1.010~9.503 |
SHR | 1.073 | 0.507 | 4.484 | 0.034 | 2.924 | 1.083~7.891 | ||
模型2 | 应激性血糖 | 1.136 | 0.571 | 3.961 | 0.047 | 3.113 | 1.017~9.527 | |
SHR | 1.155 | 0.518 | 4.972 | 0.026 | 3.174 | 1.150~8.761 | ||
模型3 | 应激性血糖 | 1.122 | 0.568 | 3.901 | 0.048 | 3.072 | 1.009~9.359 | |
SHR | 1.127 | 0.524 | 4.635 | 0.031 | 3.088 | 1.106~8.618 | ||
模型4 | 应激性血糖 | 1.063 | 0.603 | 3.111 | 0.078 | 2.894 | 0.889~9.429 | |
SHR | 1.097 | 0.542 | 4.090 | 0.043 | 2.995 | 1.034~8.670 | ||
模型5 | 应激性血糖 | 1.290 | 0.708 | 3.327 | 0.068 | 3.634 | 0.908~14.544 | |
SHR | 1.324 | 0.666 | 3.955 | 0.047 | 3.757 | 1.019~13.845 | ||
非糖尿病人群 | 模型1 | 应激性血糖 | 0.853 | 0.348 | 6.027 | 0.014 | 2.347 | 1.188~4.639 |
SHR | 0.982 | 0.340 | 8.346 | 0.004 | 2.670 | 1.371~5.198 | ||
模型2 | 应激性血糖 | 1.037 | 0.427 | 5.895 | 0.015 | 2.821 | 1.221~6.517 | |
SHR | 0.968 | 0.395 | 6.012 | 0.014 | 2.633 | 1.214~5.708 | ||
模型3 | 应激性血糖 | 1.030 | 0.428 | 5.797 | 0.016 | 2.802 | 1.211~6.482 | |
SHR | 0.965 | 0.395 | 5.962 | 0.015 | 2.626 | 1.210~5.698 | ||
模型4 | 应激性血糖 | 1.382 | 0.493 | 7.870 | 0.005 | 3.983 | 1.517~10.458 | |
SHR | 1.433 | 0.463 | 9.575 | 0.002 | 4.193 | 1.691~10.396 | ||
模型5 | 应激性血糖 | 1.210 | 0.517 | 5.476 | 0.019 | 3.355 | 1.217~9.247 | |
SHR | 1.141 | 0.505 | 5.095 | 0.024 | 3.129 | 1.162~8.427 |
项目 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|
SHR | ||||||
≤1.00 | — | — | — | — | 1.000 | — |
1.01~1.40 | 0.860 | 0.479 | 3.216 | 0.073 | 2.362 | 0.923~6.043 |
1.41~1.80 | 1.080 | 0.467 | 5.352 | 0.021 | 2.945 | 1.179~7.356 |
>1.80 | 1.522 | 0.548 | 7.710 | 0.005 | 4.582 | 1.565~13.416 |
SHR趋势 | 0.487 | 0.162 | 8.995 | 0.003 | 1.627 | 1.184~2.237 |
糖尿病史×SHR交互 | 0.452 | 0.344 | 1.723 | 0.189 | 1.571 | 0.800~3.086 |
Table 6 Analysis of factors influencing the relationship between SHR and 1-year recurrence of mild AIS in elderly patients
项目 | B | SE | Wald χ2值 | P值 | OR | 95%CI |
---|---|---|---|---|---|---|
SHR | ||||||
≤1.00 | — | — | — | — | 1.000 | — |
1.01~1.40 | 0.860 | 0.479 | 3.216 | 0.073 | 2.362 | 0.923~6.043 |
1.41~1.80 | 1.080 | 0.467 | 5.352 | 0.021 | 2.945 | 1.179~7.356 |
>1.80 | 1.522 | 0.548 | 7.710 | 0.005 | 4.582 | 1.565~13.416 |
SHR趋势 | 0.487 | 0.162 | 8.995 | 0.003 | 1.627 | 1.184~2.237 |
糖尿病史×SHR交互 | 0.452 | 0.344 | 1.723 | 0.189 | 1.571 | 0.800~3.086 |
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