脑梗死再发的临床分析

A Clinical Analysis on Recurrent Cerebral Infarction

目的为提高脑梗死患者生存质量，降低脑梗死再发率和病死率，对再发脑梗死和初发脑梗死住院患者进行临床分析。方法采用成组对照分析的方法，观察了６６例再发和６６例初发病人的相关危险因素、部分临床指标、并发症及预后。结果吸烟、高龄（≥６５岁）、高血压、高血糖和血ＨＤＬ降低是导致脑梗死再发的高危险因素（Ｐ＜０．０５、０．０１、０．００１）；与初发脑梗死相比，再发脑梗死患者明显存在低血钾、心电图和肝肾功异常（Ｐ＜０．００１），并发症的发病率和病死率升高（Ｐ＜０．０１）。结论避免和控制高危险因素，提高综合防治水平，是降低脑梗死再发率和病死率的关键。

Objective In order to improve the life quality of the patients and reduce the recurrent rate and mortality,a clinical analysis was performed on the patients with recurrent cerebral infarction and those with initial cerebral infarction respectively.Methods A study of randomized,controlled groups of the patients with the captioned diseases was carried out to investigate the relative factors,some clinical indexes,complications and prognoses,66,recurrent;66,initial.Results The results indicated that cigarette smoking,old age (65￣up),hypertension,hyperglycosemia,HDL lowering in blood(P<0.005,0.01,0.001),are high risk factors leading to recurrence of cerebral infarction.In contrast with the patients (initial),the patients (recurrent) showed signs of significant hypokalemia,hepatopathy,renal dysfunction,abnormal electrocardiogram(P<0.001),and an increase in morbidity of complications and mortality(P<0.01).Conclusion The key measures for eschewing,controlling the high risk factors and improving the prevention and treatment of the disease should be taken to reduce the recurrence and death of the patients suffering from cerebral infarction.