中老年脑心综合征相关因素分析

Analysis of Relative Factors in Quinquagenarian Cerebrocardiac Syndrome

目的:探讨急性脑卒中后脑心综合征的发病机制、临床特点。方法:62例脑心综合征及对照组的临床症状、卒中部位、心电图、血脂、血糖、尿酸及C-反应蛋白进行分析。结果:脑心综合征组心电图异常为心律失常、心肌缺血;临床表现多为急性左心衰竭并休克。发生率为49%,2h内发生者14.52%,7d内占85.48%,病死率为32.26%。脑心综合征组血糖、血脂、尿酸及C-反应蛋白增高明显于对照组,有统计学意义。结论:在急性脑卒中治疗中,保护心脏功能、控制心律失常及预防心肌梗死,控制干预危险因素有重要意义。

Objective：To explore the pathogenesis, clinical features of cerebrocardiac syndrome after acute cerebral stroke. Methods ： 62 cases of cerebrocardiac syndrome and the control group with clinical symptoms of stroke position, electrocardiogram, blood lipids, blood sugar, uric acid and C-reactive protein were analysed. Results ：Cerebrocardiac syndrome group showed the ECG arrhythmia, myocardial ischemia; many clinical manifestations were acute left heart failure and shock. The incidence was 49%, 2 hours from 14.52%, 7 days, accounting for 85.48%, 32.26% mortality rate. Group of cerebrocardiac syndrome of blood glucose, blood lipids, uric acid and C-reactive protein increased significantly than that in the control group, there was significant. Conclusions ：In acute stroke treatment, the protection of heart function, control arrhythmias and the prevention of myocardial infarction, intervention to control risk factors has animportant significance.