进展性脑梗死的危险因素临床分析

Clinical analysis of the risk factors of progressive cerebral infarction

目的:探讨进展性脑梗死的危险因素。方法:分析了56例进展性脑梗死患者的血压、体温、白细胞计数、血糖、血脂、纤维蛋白原、经颅多普勒(TCD)及颈部血管超声检查结果,并与56例完全型脑梗死患者的临床资料作对照,进行统计学分析。结果:进展性脑梗死组存在感染、收缩压偏低、糖尿病、高血糖、高血脂及高纤维蛋白原,颅内外大血管狭窄明显高于对照组,有显著性差异(P<0.05)。结论:感染、血糖升高、急性期收缩压下降、高脂血症、高纤维蛋白原血症及颅内外大血管狭窄与进展性脑梗死关系密切,应作为危险因素。

Objective： To evaluate the risk factors for progressive cerebral infarction. Methods： The blood pressure, body temperature, white blood cell count, blood glucose, blood lipids, fibrinogen and TCD, neck vascular ultrasound results of 56 patients with progressive cerebral infarction were analyzed, and were compared with clinical data of 56 patients with complete cerebral infarction and analyzed statistically. Results： Progressive cerebral infarction group had infection, low systolic blood pressure, diabetes, high blood glucose, hyperlipidemia, high fibrinogen, and intracranial and extracranial large artery stenosis, and showed a significant difference （P〈0.05）. Conclusion： Infections, hyperglycemia, acute stage of systolic blood pressure decreased, hyperlipidemia, hyperfibrinogenemia and intracranial and extracranial large artery stenosis are closely related to progressive cerebral infarction, and should serve as risk factors.