短暂性脑缺血发作发展至脑梗死危险因素分析  

The analysis of risk factors for cerebral infarction resulting from transient ischemic attack

作　　者：冯世瑾[1] 

机构地区：[1]山东省德州市人民医院,德州253014

出　　处：《白求恩军医学院学报》2009年第5期294-296,共3页Journal of Bethune Military Medical College

摘　　要：目的探讨短暂性脑缺血发作(TIA)发展至脑梗死的危险因素。方法对126例TIA患者的临床资料进行回顾性分析。结果126例患者中49例发生脑梗死,其中颈内动脉系统TIA的89例中31例发生脑梗死,椎-基底动脉系统TIA28例中15例发生脑梗死,同时累及两个系统的9例中3例发生脑梗死。TIA发作>30min、24h内发作>3次、首次发作后>24h和发作>5次开始治疗的患者发生脑梗死的危险性显著提高(P<0.05)。发生脑梗死的TIA患者血压、血糖、总胆固醇显著增高(P<0.05)。结论患者TIA发作持续时间长、次数多、未及时治疗,尤其伴有高血压、高血糖、高脂血症者短期内发生脑梗死的危险性较高。Objective To investigate the risk factors for cerebral infarction resulting from transient ischemic attack（TIA）.Methods The retrospective analysis was made for the data of 126 cases with TIA.Results Among the 126 cases,there were 49 patients suffering from cerebral infarction（CI）.Among 89 cases with TIA in the internal carotid artery system,there were 31 patients suffering from CI.Among 28 cases with TIA in the vertebra-basilar artery system,there were 15 patients suffering from CI.Among 9 cases with TIA in the two systems,there were 3 patients suffering from CI.The risks of cerebral infarction were significantly increased in the patients whose syndromes lasted for over 30 min,attacked three times within 24 h,the patients whose syndromes attacked over 24 h and the patients whose syndromes attacked more than 5 times（P0.05）.The blood pressure,the blood sugar and the cholesterol total of the TIA patients suffering from CI were increased significantly（P0.05）.Conclusion The risk of CI is high among the patients with TIA lasting for a long time,or attacking frequently or the patients with no timely therapy,especially the patients accompanying with high blood pressure,hyperglycaemia and hyperlipoidemia.

关 键 词：短暂性脑缺血发作 脑梗死 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学]