老年人复发性脑梗死46例临床分析

Clinical analysis of recurrent cerebral infarction in 46 elderly patients

目的：了解复发性脑梗死的危险因素及临床特点。方法：综合近８年收治的老年脑梗死１８９例，其中复发４６例，从剩余１４３例初发患者中随机抽出４６例做对照组。结果：发现高血压、糖尿病等是复发性脑梗死的危险因素，而病前血糖控制不良是主要诱因。其临床症状、体征较初发者重，预后差。结论：减少有关危险因素，初次梗死后及早进行抗凝治疗。

Objectives: To explore the risk factors and clinical characteristics in the elderly with recurrent cerebral infarctions. Methods: Of the 189 cases suffering from cerebral infarctions, 46 cases (24.3%) were recurrent stroke, 143 cases (75.7%) were the first attack. By means of random sampling from the latter, 46 cases were served as controls and compared with the former. Results: Hypertension or diabetes mellitus is the important risk factor leading to recurrent stroke. Moreover, poor control in serum glucose is a major predisposing factor. The patients present more severe neurological deficient and worse outcome than those who suffer it at the first time. Conclusions: Decreasing the stroke related risk factors and early accepting anticoagulant therapy may reduce repeated stroke and improve the quality of life.