论文部分内容阅读
目的：评价呼吸系统感染诱发缺血性脑中风的危险性。方法：荟萃分析。结果：对６个近期感染与缺血性脑中风（ＩＳ）发作关系的病例对照研究，对象按呼吸系统感染和非呼吸系统感染分两个层次分别进行荟萃分析，６个研究累积ＩＳ病例７１９例，有感染史者１７１例（２３．７８％），其中呼吸系统感染１１９例（１６．５５％），非呼吸系统感染５２例（７．２３％）。累积对照７７５例，有感染史者６０例（７．７４％），其中呼吸系统感染３６例（４．６５％），非呼吸系统感染２４例（３．１０％）。经齐性检验，两个层次结果一致性均很好。经加权和合并，呼吸系统感染合并ＯＲ值４．３０（２．９１～６．３６），非呼吸系统感染ＯＲ值２．５７（１．４６～４．４８）。结论：呼吸系统感染是促发ＩＳ发作的最重要的感染性疾病。
PURPOSE: To evaluate the risk of ischemic stroke induced by respiratory infection. Methods: Meta-analysis. Results: A case-control study of six recent infections with ischemic stroke (IS) was conducted. The subjects were divided into two groups according to respiratory system infection and non-respiratory system infection. Six cases of cumulative IS of 719 cases 171 cases (23.78%) had history of infection, of which 119 cases (16.55%) had respiratory system infection and 52 cases (7.23%) had non-respiratory system infection. There were 775 cases of cumulative infection and 60 cases of infection (7.74%) with respiratory infection in 36 cases (4.65%) and non-respiratory infections in 24 cases (3.10%). Homogeneity test, the two levels of consistency of the results are good. After weighted and combined OR, the odds ratio (OR) was 4.30 (2.91 ~ 6.36) for respiratory infections and 2.57 (1.46 ~ 4.48) for non-respiratory infections. Conclusions: Respiratory infections are the most important infectious diseases that trigger the onset of IS.