Analysis of Influencing Factors Influencing the prognosis of Patients with First-episode Acute Cerebral Infarction

Abstract

Objective To investigate the factors influencing the prognosis of patients with first-episode acute cerebral infarction, and provide the theoretical basis for clinical treatment. Methods 120 patients with first-episode acute cerebral infarction were selected from our hospital between Feb. 2018 and Jun. 2019. The clinical data of the patients were collected, the modified Rankin Scale (mRS) was scored at discharge. Patients with mRS≤2 points were divided into favorable prognosis group, patients with 3≤mRS≤6 points were divided into poor prognosis group. Logistic multiple regression analysis was used to explore the influencing factors of prognosis of patients with first-episode acute cerebral infarction. Results In the 120 patients, 82 patients (68.3%) developed favorable prognosis and 38 patients (31.7%) had poor prognosis. Logistic multivariate regression analysis showed that the level of uric acid, NIHSS score, infarct volume were the main factors affecting the prognosis of patients with first-episode acute cerebral infarction (P<0.05). Conclusion Evaluation and treatment should be decided by considering the imaging examination, laboratory examination and NIHSS score to improve the prognosis of patients with first-episode acute cerebral infarction.