老年人缺血性脑卒中首发与再发的临床特点研究

Study on the clinical characteristics and risk factors of previous and recurrent ischemic stroks

目的探讨缺血性卒中复发的临床特点和危险因素。方法对同期住院的首发与复发的缺血性卒中患者进行临床分析和病例对照研究。结果复发组高血压、糖尿病、高脂血症及并发肺感染、癫痫、深静脉血栓、脑出血明显高于首发组。再发组的轻度伤残率显著低于首发组,而重度伤残率却显著高于首发组。结论缺血性卒中复发的并发症及致残程度均明显提高,应高度重视该病的二级预防。高血压、高脂血症,糖尿病可能为卒中复发的危险因素。

Objective To describe clinical features and risk factors of recurrent ischemic strokes.Methods Clinical data of patients with previous or recurrent ischemic strokes were analyzed by a ease-control study.Results Hypertention, diabetes, hyperlipoproteinemia, pneumonia, epilepsy, embolism of deep vein, haemorrhagic strokes in recurrent ischemic strokes is much higher than in previous groups. The light type disability rate is remarkably lower in recurrent groups.The severe type disability rate is remarkably higher in recurrent groups.Conclusion The complication and handicap degrees obviously rise in recurrent ischemic strokes groups.We shoud pay attention to the secondary precautions of the disease.Hypertention,hyperlipeproteinemia and diabetes may be the risk factors in recurrent ischemic strokes.