急性脑血管病并发脑心综合征55例临床分析

Analysis of acute cerebrovascular disease complicated by brain-heart syndrome 55 cases

目的探讨急性脑血管病并发脑心综合征的发病机制和防治措施。方法选择郑州大学第一附属医院2008年9月至2011年8月收治的急性脑血管病患者90例,回顾性分析其临床资料,观察并发脑心综合征的发生率,并分析发病机制和防治效果。结果全部患者并发脑心综合征55例,发生率为61.11%。其中出血性脑血管病48例,占87.27%;缺血性脑血管病7例,占12.73%。经综合治疗后,好转53例,好转率为96.36%。结论脑心综合征的发生可能与急性脑血管病的类型有关,出血性脑血管病高于缺血性脑血管病。其发生机制可能与脑受损后对心脏神经支配紊乱、神经和体液调节障碍、血管病变及血流动力学变化有关。应注意加强对急性脑血管病尤其是出血性脑血管病患者的心功能监护,积极防治脑心综合征。

Objective To investigate the pathogenesis and prevention measures of acute cerebrovascular disease complicated by brain-heart syndrome,and provide a reference for clinical work.Methods Totally 90 patients with acute cerebrovascular disease were treated in our hospital from September 2008-August 2011,a retrospective analysis of clinical data,observation of brain-heart syndrome,complicated by incidence,pathogenesis and control.Results All patients with brain-heart syndrome in 55 cases,the rate was 61.11%.One of hemorrhagic cerebrovascular disease in 48 cases,accounting for 87.27%;Ischemic cerebrovascular disease in 7 cases,accounting for 12.73%.Comprehensive treatment,improved in 53 cases,improvement rate was 96.36%.Conclusions Brain-heart syndrome may occur with the type of acute cerebrovascular disease,hemorrhagic cerebrovascular disease was more than ischemic cerebrovascular disease.In future clinical work,should be paid attention to acute hemorrhagic cerebrovascular disease,especially heart function in patients with cerebrovascular disease monitoring,to prevent and treat brain-heart syndrome.