腔隙性脑梗死的危险因素分析  

The analysis of dangerous factors for lacunar cerebral infarction

作　　者：郑东升[1] 李辛[1] 钟裕元[1] 田兆华[1] 

机构地区：[1]广东省广州市白云区中医医院内一科,510470

出　　处：《河北医药》2010年第4期403-404,共2页Hebei Medical Journal

摘　　要：目的探讨腔隙性脑梗死(lacunar cerebral infarction,LI)的危险因素。方法回顾性分析2005至2009年确诊的LI患者128例的临床资料。结果高血压116例(90.6%),糖尿病43例(33.6%),冠状动脉粥样硬化性心脏病(冠心病)82例(64.1%),高脂血症74例(57.8%),TIA38例(29.7%),甲状腺功能减低20例(15.6%),吸烟72例(56.3%),饮酒65例(50.8%),外伤6例(4.7%);多灶性LI一般有3种以上危险因素,且多合并糖尿病。结论高血压是LI最主要且直接的原因,糖尿病是LI的独立危险因素,多灶性LI一般有3种以上危险因素。Objective To explore the dangerous factors of lacunar cerebral infarction （LI）. Methods The clinical data of 128 patients with LI from 2005 to 2009 retrospectively analyzed. Results Among 128 patients,there were 116 cases of hypertension （ 90. 6% ） , 43 cases of diabetes （ 33. 6% ） , 82 cases of CHD （64.1%） ,74 cases of hyperlipidemia （57. 8%）, 38 cases of TIA （29. 7% ）, 20 cases of hypothyroidism （15.6%） ,72 cases of smoking（56.3% ） ,65 cases of drinking（50.8% ）and 6 cases of trauma（4.7% ）. There were more than three kinds of dangerous factors for multifocal LI generally, and most of them were combined with diabetes. Conclusion Hypertension is the most principal and direct reason for LI, diabetes is the independent dangerous factor for LI. There are more than three kinds of dangerous factors for muhifocal LI generaILy.

关 键 词：腔隙性脑梗死 高血压 糖尿病 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]