进展性脑卒中相关危险因素临床分析  

CLINICAL ANALYSIS OF THE RELATED RISK FACTORS OF STROKE IN PROGRESSION

作　　者：田锦勇[1] 王建怡[1] 李玫[1] 王菊[1] 陈戈雨[1] 戴宏[1] 

机构地区：[1]贵州省人民医院神经内科,贵阳550002

出　　处：《现代预防医学》2010年第12期2348-2349,共2页Modern Preventive Medicine

基　　金：贵州省卫生厅基金(黔卫发[2005]138号-4);贵州省优秀科技人才省长基金20006(67号)

摘　　要：[目的]探讨进展性脑卒中(stroke in progression,SIP)的危险因素。[方法]选择2005年1月～2009年12月我院收治的SIP患者161例与同期住院治疗的脑梗死患者157例进行比较分析研究。[结果]161例进展性脑卒中患者有糖尿病史106例,明显高于对照组55例(P﹤0.05);进展性脑卒中组高血压115例,对照组高血压79例,两组比较差异有显著性(P﹤0.05);81例进展性脑卒中组患者和32例对照组患者行颈动脉超声检查,前者81例,对照组32例,差异有显著性(P﹤0.05);SIP组中近期感染者32例,对照组感染20例,两组感染率比较差异有统计学意义(P﹤0.05);观察组高胆固醇131例,而对照组101例,两者比较差异无统计学意义(P﹥0.05)。[结论]进展性脑卒中的发病与多种因素相关,相应颈动脉粥样硬化和人院时高血糖、高血压、近期感染是完全前循环梗死型进展性脑卒中的危险因素。[Objective] To investigate the relevant risk factors of stroke in progression.[Methods] From January 2005 and December 2009,the data of 161 inpatient with the attack of stroke in progression in the Department of Neurology were retrospectively studied.[Results] Among 161 stroke patients,106 cases were accompanied by diabetes,and the number was obviously higher than 55 cases in the control group（P﹤0.05）;115 cases had the history of hypertension,and the number is significantly higher than that in control group（79 cases）（P﹤0.05）;81 cases were accompanied with carotid arteriostenosis,and the number was significantly higher than that in control group（P﹤0.05）;32 cases had the history of recent infection,and the number was higher thanthat in control group（P﹤0.05）;131 cases had hypercholesterolemia,and the number had no significant difference with that in controls（P﹥0.05）.[Conclusion] The attack of progressive stroke is associated with various factors.Diabetes,hypertension,recent infection and corresponding carotid arteriostenosis are the risk factors of stroke in progression.

关 键 词：进展性脑卒中 危险因素 高血糖症 高血压 因素分析 

分 类 号：R743[医药卫生—神经病学与精神病学]