复发性脑梗死的危险因素

Investigation on the Risk Factor of Recurrent Cerebral Infarction

为探讨复发性脑使死（RCI）患者的危险因素及预测指标，检测了46例RCI患者和38例无心脑血管病证据，其他条件基本相同的患者的血糖（GLU）、血清总胆固醇（TC）、高密度脂蛋白胆固醇（HDL－C）、血浆纤维蛋白原（FG）及血浆比粘度（RVP比）。结果：RCI患者的GLU呈显著升高（P＜0．01），HDL－C显著降低（P＜0．05），而FG呈极显著升高（P＜0．01）．RVP（比）也显著增加（P＜0．05）。提示中老年人有高血压或脑动脉硬化症应定期查GLU、HDL－C、FG及RVP（比）等指标，如发现异常经过及时处理可预防发生脑梗死；而对于已发生过RCI的患者，更应定期查上述各项指标，如发现异常经过及时处理亦可以预防复发性脑梗死。

In order to study the risk factors and predicting parameters of patients with recurrent cerebral infarction (RCI), 46 patients with RCI and 38 patients without heart cerebral disease as control group were subjected to the determination of GLU, TC, HDL-C, FG and RVP ratio. It was found that the GLU level of the patients with RCI was obviously increased (P<0.01 ). HDL-C notably reduced (P<0.05) as compared with control group, and that FG was very significantly higher (P<0. 001) and RVP ratio markedly increased (P<0.05). It was concluded that middle-old age patients having hypertension. cerebral arteriosclerosis deserved fix a date to determine GLU.HDL-C, FG and RCP ratio etc. The quick treatment of the disorders was very important for the prevention of cercbral infarction. For the patients having cerebral infarction, regular determination of the above parameters was more important for the prevention of RCI.