| [Objective]To determine the independent risk factors for Posterior circulation infarction, and to study factors of influencing the prognosis of Posterior circulation infarction.[Methods]This study screening1537cases from patients of the first affiliated hospital of Fujian medical university with cerebral infarction from June2010to June2012,218cases randomly in patients with cerebral infarction material, which were collected21factors,such as disease time,hospital stay, systolic blood pressure, diastolic blood pressure, HbAlc, FBG,2-hr plasma glucose, whether to use generically, whether to use insulin, coronary heart disease, AF, smoking, Past history of cerebral infarction or TIA, Family history of cerebral infarction, TG, TCHO, HDL, LDL, apoAl, FIB, infarction part;410cases Which Material not whole had been eliminated.909cases with brainstem infarction were divided into Posterior circulation infarction group (n=432) and Anterior circulation infarction group ((n=477) according to whether their MRI have Posterior circulation infarction, which were analyzed with logistic regression analysis. Then the432cases with Posterior circulation infarction were divided into good prognosis of Posterior circulation infarction group and poor prognosis of Posterior circulation infarction group according to their mRS grade, which were analyzed with logistic regression analysis.[Results]Factors of Posterior circulation infarction group and Anterior circulation infarction group logistic regression analysis confirmed that occurrence of Posterior circulation infarction were mainly related to, high HbAlc(≥8.5%)(P=0.038, OR=1.796)ã€whether to use insulin (P=0.138, OR=1.950).ang that of Anterior circulation infarction factors were mainly related to AF (P=0.029, OR=0.648), hospital stay(P=0.124,OR=0.804). of good prognosis of the brainstem infarction group and poor prognosis of the brainstem infarction group logistic regression analysis showed that influencing the Pmgnosls of Posterior circulation infarction were mainly related to disease time (P=0.020,OR=0.448)ã€high HbAlc(≥8.5%)(P=0.108,OR=0.461)ã€TG (P=0.078,OR=1.5250)ã€FIB (P=0.008,OR=0.482)ã€infarction part (P=0.005)[Conclusions]The results indicated that high HbAlc(≥8.5%) are Posterior circulation infarction risk factors, but also influenced the prognosis of Posterior circulation infarction.in addition to this the come on the hospitalization period, TG, FIB also affected the prognosis of Posterior circulation infarction. |