进展性卒中相关因素的临床分析  

Characteristics of Stroke-in-Progression

作　　者：伍锦旋 邓景云 

机构地区：[1]广东省肇庆市端州区人民医院 [2]广东省肇庆市端州区妇幼保健院

出　　处：《中西医结合心脑血管病杂志》2006年第1期24-25,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的分析引起进展性卒中的相关因素。方法回顾性分析进展性卒中病人，排除出血性卒中后的梗死性卒中，对其血压、血糖、周围血白细胞、近期感染、血脂、梗死部位、动脉狭窄等因素进行分析研究。结果216例进展性卒中病人．83例出现不同程度的近期感染。188例患高血压，其中初测血压（150～200）／（95～130）mmHg 154例。65例脉压小于30mmHg，与对照组比较，患高血压病人数高于对照组（P〈0．001）。患糖尿病143例。96例经颅多普勒超声检查，72例有不同程度颅内外血管狭窄。结论进展性卒中的危险因素多与高血压病、糖尿病、近期感染及颅内外大血管狭窄及塞有关。Objective To analyze the related factors of stroke - in- progression. Methods Two hundred and sixteen patients （pts） with advancing ischemic cerebral stroke were studied retrospectively. Blood pressure, blood glucose, blood lipid level, the degree of artery stenosis and infarction site were analyzed. Results The results showed： （1） Eighty - three pts with stroke - in - progression were accompanied with recent infection （P 〈 0.01 ）. Q One hundred and Eighty - eight pts were accompanied with hypertension （P（ 0. 001 ）. Among them, blood pressure were between （ 150 - 200/（95 - 130） mmHg in 154 pts （ P 〈 0. 001 ） andpulse pressure were lower than 30 mmHg in 65 pts. （2） One hundred and forty- three pts were accompanied with Diabetes Mellitus（DM） （ P 〈 0. 001 ）. （3） The intracranial and extracraial vascular stenosis or occlusion in stroke- inprogression group were severer than that in control group （P （0. 001 ）. Conclusion Hypertension, DM, recent infection, and intraor extracranial vascular stenosis/occlusion were associated with stroke-in-progression.

关 键 词：卒中 相关因素 回顾性分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]