Acute ischemic stroke and peripheral arterial occlusion disease related factors

• Main Authors: Mei-Chun Chiu, 邱美春
• Other Authors: Kuan-Chih Chow
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/39790108446562651891

碩士 === 國立中興大學 === 生命科學院碩士在職專班 === 99 === We investigate the relationship between peripheral arterial occlusive disease (PAOD) and acute ischemic stroke by ankle brachial index (ABI).The inclusive criteria were the in-patents who suffered from an acuteischemic stroke, and were admitted within 10 days.Ischemic stroke wereconfirmed by brain computed tomography (CT). Among 166 patientscollected, 38 patients had abnormal ABI below 0.9, and the remaining patients were within normal range (0.91 to 1.3). The average age was68.4±9.7 years old, 61.4% were male（n=102）and those who were older than 65 years old was 66.3%. We studied risk factors such as age, previous stroke, hypertension, blood sugar, heart diseases, and smoking.We use Chi-square test, Student t test﹐Fisher''s Exact test and logistic regression. The resultsindicate that the most influential factors are age（Odds Ratio：1.1； 95％CI） and fasting blood glucose（Odds Ratio：1.0 ；95％CI）. Also, we analyzed these patients using the Essenstroke risk score. The rate of recurrent stroke was highif the score was higher than 2. The data show that the percentage of patients with-in stroke-associated PAOD and high Essen Stroke Risk score was 84.2%. According to these data, patients who suffered from ischemic stroke associated with PAOD are more susceptible to recurrence of stroke.