进展性缺血性脑卒中的预后相关研究

目的对于进展性缺血性脑卒中患者进行预后情况的相关探讨和研究。方法将2004年3月～2010年12月收治的60名进展性脑卒中患者与同期收治的120名非进展性缺血性脑卒中患者的临床治疗和预后情况进行实验对照统计,对经过常规基础治疗的两组病患的伴随病症与预后的关系进行分析,对比研究其预后的情况及相关影响因素。结果进展性缺血性脑卒中患者伴随高血压、糖尿病及酸碱平衡紊乱的比例明显高于非进展性缺血性病患(P<0.05),继发发热和感染无明显差异(P>0.05);进展性缺血性脑卒中病患的预后较非进行性缺血性脑卒中病患差(P<0.05)。结论进展性缺血性脑卒中在多种基础疾病上发生,其预后较差,恢复缺血区供血、防止并发症可能是改善预后的重要环节。

Objective To explore the condition to the during of recovery of progressive ischemic stoke. Methods 60 cases of PIS and 1 20 cases of non-progressive ischemic stroke were analysised retrospectively during 2004, March to 2010, December. Results More cases of PIS associated with hypertension, hyperglycemia and electrolyte imbalance than that of controls （P〈0.05）; no relationship with fever and infection （P〉0.0.5）; more cases of PIS have deteriorate clinical consequences than controls （P〈0.05）. Conclusion PIS correlated with a lot of risk factors, characteristic imagine features and badness outcome.