体重指数和腹围指数对急性缺血性脑卒中部位和病因的影响

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Abstract Objective To investigate the influence of body mass index(BMI)and abdominal circumference index on the location and etiology of ischemic stroke.MethodsA total of 80 patients with acute ischemic stroke(CIS)who were admitted to our hospital from January 2016 to September 2017 were selected as the observation group.80 patients with physical examination who were examined in our hospital during the same period were selected as the control group.The body height,weight,and abdominal circumference of the two groups were calculated,and the BMI and abdominal circumference index were calculated and the Oxfordshire Community Stroke Project(OCSP)classification and TOAST classification were performed.Results The BMI of the overweight and obesity subgroup and the abdominal circumference index of the abdominal circumference abnormal subgroup were higher in the observation group than in the control group(P＜0.05）;PACI in the OCSP subtype of patients with different BMI subgroups.The proportion of type(41.25%)was higher than that of TACI type(6.25%),LACI type(30.00%),POCI type (22.5%),the difference was statistically significant(P<0.05）;OCSP classification in patients with different abdominal circumference index subgroups.In the subgroups of≤1 cm/kg,the POCI type ratio was lower than ＞1 cm/kg， with a statistically significant difference (P<0.05）;According to the TOAST classification,there were 25 cases(31.25%)of LAA type and 27 cases (33.75%)SAO type,13 cases(16.25%)CE type,7 cases(8.75%)SOE type and 9 cases(11.25%)SUE type.Among the TOAST subtypes with different BMI,only the proportion of SAO was lower than that of LAA,and the difference was statistically significant(P<0.05）.The subtypes with different abdominal circumference index were subtypes of ＞1 cm/kg subtype LAA.Subgroups above≤1 cm/kg were statistically significant(P<0.05）,while subtypes＞1 cm/kg subgroup were less than ≤1 cm/kg subgroup,with a statistically significant difference (P<0.05）.Conclusion The BMI and abdominal circumference index of patients with CIS can affect the location and etiology of ischemic stroke.It can be used as an important index to predict the etiology and pathogenesis.

Key words： Ischemic stroke Body mass index Abdominal circumference index Cause

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	LIU Si-ping
	YUAN Kun-xiong

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LIU Si-ping,YUAN Kun-xiong. Influence of body mass index and abdominal circumference index on the location and etiology of acute ischemic stroke[J]. 中国当代医药, 2018, 25(26): 50-53.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I26/50

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