进展性脑梗死的危险因素分析

The Relevant Risk Factors in Progressive Stroke

目的探讨研究进展性脑梗死脑患者的临床危险因素。方法本院2006年4月至2010年1月收治58例确诊为进展性脑梗死患者为研究对象观察组,并与同期院的62例非进展性脑梗死患者作为对照组,将2组中的临床表现、影像学特征、实验室检查以及并发症等可能引起进展性脑梗死的多种因素进行分析和总结。结果两组间的收缩压、舒张压、胆固醇、纤维蛋白原、C-反应蛋白指标与对照组相比存在统计学意义(P<0.05),空腹血糖、甘油三酯、D-二聚体指标两组间存在统计学意义(P<0.01);早期CT扫描异常率高、颈动脉严重狭窄和发烧(体温超过37.5℃)等也是进展性脑梗死的危险因素。结论进展性脑梗死的发生是集合了多种因素与生物机制共同作用的结果。在急性脑梗死早期应积极治疗并尽可能多的考虑到相关的危险因素并加以临床关注,方能最大程度的减少进展性脑梗死的发病率。

Objective To explore the risk factors for progressing stroke.Methods 58 patients admitted as advanced cerebral infarction and 62 patients admitted as cerebral infarction were retrospectively analyzed respectively on clinical manifestation,Imaging Features,laboratory examination and complication in our hospital from April 2006 to January 2010. Results Between the two groups systolic blood pressure,diastolic blood pressure,cholesterol,fibrinogen and c-reactive protein indicators compared with the control group was significantly different（P0.01）;High rate of early CT scan abnormalities,severe carotid artery stenosis and fever（temperature over 37.5℃）and other risk factors is also a progressive cerebral infarction Carotid severe stricture.Conclusion Progressive Stroke is a common effect of various factors and mechanisms of the result.In the treatment of acute cerebral infarction should be actively considered as much as possible to the relevant risk factors and attention to reduce the progress in the incidence of cerebral infarction.