脑梗后心梗及心梗后脑梗在高龄人群中的临床特点及危险因素分析

Clinical Characteristics and Risk Factors of Cerebral Infarction after Cerebral Infarction and Cerebral Infarction in Elderly Patients

目的探讨脑梗后心梗及心梗后脑梗在高龄人群中的临床特点及危险因素。方法选取180例脑梗后心梗以及心梗后脑梗高龄患者,整理归纳患者一般资料,并同期选取80例高龄正常体检者为对照组,对比两组实验室检查情况以及心梗后脑梗以及脑梗后心梗主要危险因素。结果 CIS后AMI和AMI后CIS血压、空腹血糖、高密度脂蛋白以及总胆固醇和对照组对比存在明显差异(P<0.05);单因素分析可知,影响AMI后CIS的因素包括吸烟和血脂异常(P<0.05),而影响CIS后AMI的因素主要为血脂异常(P<0.05);多因素回归分析结果显示,影响CIS后AMI及AMI后CIS的主要因素为吸烟史和血脂异常(P<0.05)。结论 CIS后AMI和AMI后CIS多表现为血压异常、空腹血糖异常以及高密度脂蛋白和总胆固醇异常。而影响CIS后AMI和AMI后CIS的主要因素包括吸烟史和血脂异常,临床治疗过程中加强对危险因素的监测和预防可以提高临床治疗有效性。

Objective To investigate the clinical features and risk factors of cerebral infarction after cerebralinfarction and cerebral infarction in elderly patients. Methods One hundred and eighty elderly patients with post-infarction myocardial infarction and post-infarction myocardial infarction were selected to summarize the general dataof patients, and 80 elderly healthy persons were selected as control group at the same time. The laboratory examinationand the main risk factors of post-infarction cerebral infarction and post-infarction myocardial infarction were comparedbetween the two groups. Results After CIS, CIS blood pressure, fasting blood glucose, high-density lipoprotein, totalcholesterol and total cholesterol were significantly different between AMI and AMI(P<0.05). Univariate analysisshowed that factors affecting CIS after AMI included smoking and dyslipidemia.(P<0.05), and the factors affectingAMI after CIS were mainly dyslipidemia(P<0.05). Multivariate regression analysis showed that the main factorsaffecting CIS after AMI and post-AMI were smoking history and dyslipidemia(P<0.05). Conclusion CIS after AMI andpost-MI after CIS showed abnormal blood pressure, abnormal fasting blood glucose, and high-density lipoprotein andtotal cholesterol abnormalities. The main factors affecting CIS after AMI and post-MI after CIS include smoking historyand dyslipidemia. Strengthening the monitoring and prevention of risk factors during clinical treatment can improvethe effectiveness of clinical treatment.