高血压与非高血压性脑梗死患者的临床研究

CLINICAL STUDY OF CEREBRAL INFARCTION IN HYPERTENSIVE AND NON -HYPERTENSIVE PATIENTS

目的比较高血压与非高血压性脑梗死患者的发病类型、危险因素和预后的差异。方法将自2009年7月—2011年10月收治的脑梗死患者398例,根据高血压病史将其分为高血压组(201例)和非高血压组(197例)。针对患者的发病类型、危险因素和预后对2组患者分别进行单因素和多因素分析。结果高血压组既往脑梗死史、腔隙性脑梗死和后循环脑梗死发生率明显高于非高血压组;非高血压组中高龄、心脑血管疾病、糖尿病等明显比高血压组多,差异有统计学意义(P<0.05)。结论引起脑梗死的常见类型为腔隙性脑梗死和后循环脑梗死。高血压是引起脑梗死最重要的因素,同时高龄、心脑血管疾病、糖尿病等也是引起脑梗死不容忽视的因素。

Objective To compare the difference of subtypes infarction in hypertensive and non - hypertensive patients. Methods , risk factors, prognosis of cerebral A total of 398 patients from July 2009 to Oct. 2011 were chosen and divided into two groups according to medical history, hypertensive group （201 patients ） and non - hypertensive group （197 patients ）. According to their history of hypertensive ,single and multiple factor analysis in the subtypes of cerebral infarction, risk factors and prognosis were performed. Results The incidence of previous cerebral infarction, lacunar infarction, and posterior circulation infarction in the hypertensive group was significantly higher than those in non - hypertensive group. There were much more patients with advanced age, cardiovascular disease, and diabetes mellitus in non - hypertensive than in hypertensive group. Conclusion The most common subtypes of cerebral infarction are lacunar infarctions and posterior circulation infarctions whatever in hypertensive or non - hypertensive. Hypertension is the most important factor of cerebral infarction. Meanwhile, advanced age, cardiorascular diseases and diabetes mellitus are factors that can not be ignored.