摘要
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.
出处
《医学研究生学报》
CAS
1998年第3期47-49,共3页
Journal of Medical Postgraduates
关键词
复发性脑梗死
危险因素
Recurrent cerebral infarction Risk factor