影响老年腔隙性脑梗死患者预后的因素分析

Analysis of prognostic factors of the elderly patients with lacunar infarction

目的探讨血压、血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇等危险因素与老年腔隙性脑梗死患者近期复发率的相关性。方法60岁以上首次发生腔隙性脑梗死患者207例纳入本研究，每例患者跟踪随访治疗2年，评估腔隙性脑梗死患者复发率和危险因素。结果207例老年腔隙性脑梗死患者伴高血压、2型糖尿病、单纯高脂血症分别为148例、22例、7例，三者复发率分别为8．78％、18．18％、14．29％；伴高血压和2型糖尿病26例，复发率34．62％，无高血压、2型糖尿病和高脂血症4例，复发率0。2年内复发腔隙性脑梗死27例，复发率13．04％。结论高血压、2型糖尿病、高脂血症同样可认为是老年腔隙性脑梗死近期复发率的高危预测因素。

Objective To explore the correlation between the recurrence rate of the elderly patients with lacunar infarction and the risk factors including blood pressure , blood glucose, total cholesterol, triglycerides,low density lipoprotein cholesterol values,high-density lipoprotein cholesterol and other. Methods 207 over 60 years old patients with lacunar infarction occurred the first time were included in the study. All patients were followed up two years to assess the relapse rate and the risk factors of the patients with lacunar infarction. Results 207 cases of elderly patients with lacunar infarction complicated with hypertension ,type 2 diabetes and hyperlipidemia were 148 cases ,22 cases ,7 cases respectively, and the recurrence rates of three groups were 8.78% , 18.18% , 14.29% respectively ;The patients complicated with hypertension and 2 type diabetes were 6 cases, and the recurrence rate was 34.62% ; The patients without hypertension, type 2 diabetes and hyperlipidemia were 4 cases, and the recurrence rate was 0%. In two years, 27 cases of lacunar infarction recurred, and the recurrence rate was 13.04%. Conclusion Hypertension,type 2 diabetes,hyperlipidemia could also be considered as the high-risk predictor factors for the recurrence rate of the elderly patients with lacunar infarction.