老年急性脑梗死致残相关因素分析

Analysis of related factors of disability in elderly patients with acute cerebral infarction

目的探讨老年急性脑梗死致残相关因素,以期减轻病残程度。方法对68例老年急性脑梗死患者致残相关因素进行分析,发现患者意识状态、脑梗死部位、梗死灶大小、病程、血糖水平以及并发器官功能损害数目与致残有关,并对其相关机制进行探讨。结果认为坚持对致残因素进行干预,及时降低颅压,尽早治疗梗死早期高血糖,积极防治诱发器官功能损害因素,对降低病残发生率有着重要意义。结论通过对致残因素的预防,明显降低了病残率。

Objective To investigate the related factors of disability in elderly patients with acute cerebral infarction,in order to reduce the disability degree.Methods To analyse the related factors of disability in 68 elderly patients with acute cerebral infarction,the disability were related to conscious state,infarction position,infarction size,disease course,blood glucose level and the number of following organ failure.And meanwhile,the related pathogenesis was discussed.Results Insist on the intervention of the disability factors,to decrease the intracranial pressure,treatment of early infarction hyperglycemia as soon as possiable and positive control the factor-induced organ damage.These factors had significance in decreasing the disability rate.Conclusion Factors on the prevention of disability can significantly reduce the morbidity.