短暂性脑缺血发作急性期进展成脑梗死的临床因素分析  

Analysis of clinical factors for cerebral infarction resulting from transient ischemic attack

作　　者：孔晶晶[1] 王默力[2] 

机构地区：[1]大连医科大学附属第一医院特需医疗部,116011 [2]首都医科大学宣武医院神经内科

出　　处：《脑与神经疾病杂志》2009年第3期225-228,共4页Journal of Brain and Nervous Diseases

摘　　要：目的探讨颈内动脉系统短暂性脑缺血发作(TIA)急性期(7d内)进展成脑梗死的危险因素方法对急性期(7d内)的颈内动脉系统TIA患者及有颈内动脉系统TIA发作7d内进展成脑梗死的患者共143例的临床资料进行回顾性分析。结果TIA发作时间延长>30min,TIA发作间期测量收缩压偏高≥160mmHg与TIA急性期(7d内)进展成脑梗死显著相关(P<0.05)。结论发作持续时间>30min,TIA发作间期测量收缩压偏高(≥160mmHg)是急性期(7d内)TIA进展成脑梗死的危险因素。Objective To study the risk factors for cerebral infarction resulting from transient ischemic attack（TIA） attribute to carotid territory in the acute phase（within 7ds）. Methods The clinical data of 143 consecutive patients admitted to neurology department of Xuanwu Hospital from August 2005 to January 2007 were retrospectively analyzed. It included patients with carotid territory TIA in the acute phase（within 7ds）, and patients deteriorated into stroke（within 7ds） resulting from TIA with carotid territory. Results Longer symptom duration〉30min, and higher systolic blood pressure（≥160mmHg） measured in the interval of TIA were significantly associated with cerebral infarction resulting from TIA in the acute phase（P〈0.05）. Conclusion Prolonged TIA duration〉30min, and raised systolic blood pressure（≥160mmHg） in the interval of TIA were the risk factors of cerebral infarction resulting from TIA in the acute phase.

关 键 词：短暂性脑缺血发作 脑梗死 危险因素 

分 类 号：R743.32[医药卫生—神经病学与精神病学]