复发性脑梗死的危险因素分析

ANALYSIS OF THE RISK FACTORS OF CEREBRAL INFARCTION RECURRENCE

目的探讨脑梗死复发的危险因素。方法对72例脑梗死复发患者及92例初发患者的彩色多谱勒超声、吸烟、饮酒等临床资料进行比较。结果在颈动脉狭窄程度方面复发组与初发组差异有统计学意义,且复发组患者,中度及重度颈动脉狭窄的发生率明显高于初发组(P<0.01)。而复发组在二次卒中时血压及血糖升高,吸烟及饮酒等因素的发生率反比初发组低(P<0.01或<0.05)。结论除了控制脑梗死的传统独立危险因素以外,颈动脉狭窄也是脑梗死复发的危险因素。

Objective To study the risk factors of cerebral infarction recurrence. Methods The clinical data (including Dopple ultrasonography,smoking and drink) of 72 patients with cerebral infarction recurrence and 92 patients with initial cerebral infarction were analyzed. Results There was a significant difference between recurrent group and initial group in degree of carotid artery stenosis.The incidences of middle or high-grade carotid artery stenosis in recurrent patients were higher than in initial patients.The incidences of blood pressure and blood glucose rising,smoking and drink in recurrent group were lower than in initial group.Conclusion Besides traditional risk factors of cerebral infarction recurrence,the degree of carotid artery stenosis is worth being noticed.