TIA短期内进展至脑梗死的危险因素分析

Analysis on risk factors of the progress of TIA to cerebral infarctions during a short time

目的探讨短暂性脑缺血发作(TIA)短期内进展至脑梗死的危险因素。方法采用病例-对照方法分析TIA短期内进展至脑梗死的危险因素。结果年龄>60岁、性别、高血压病、糖尿病、肢体无力、语言障碍、意识障碍和症状持续>10min等是TIA短期内进展至脑梗死的危险因素。结论TIA发作症状重、发作持续时间较长以及存在脑血管病危险因素的患者容易发生脑梗死,对TIA患者应该采取积极治疗。

Objective To explore the risk factors of the progress of TIA to cerebral infarctions during a short time. Methods The risk factors of the progress of TIA to cerebral infarctions during a short time were analyzed using a case--control method. Results Hypertension, ages above 60 years, di- abetes mellitus, weak, language disturbance conscious disturbance, prolonged ischemie duration more than 10 min and so on were identified as the independent risk factors of cerebral infarction after the first TIA. Conclusions Serious symptom attacks, prolonged ischemic duration, and more risk factors of cerebral vascular disease indicate the increased risk of stroke after TIA. Adequate therapy is of great significance in preventing cerebral infarction after TIA.