86例复发性脑梗死的危险因素及临床特点分析  

RISK FACTORS AND CLINICAL FEATURES OF 86 PATIENTS WITH RECURRENT CEREBRAL INFARCTION

作　　者：高素玲[1] 陈瑞英[1] 郑清存[2] 甄志刚[3] 

机构地区：[1]河北联合大学附属医院神经内科,唐山063000 [2]唐山市妇幼保健院普外科 [3]唐山市玉田县医院内五科

出　　处：《现代预防医学》2011年第11期2190-2191,2193,共3页Modern Preventive Medicine

摘　　要：[目的]探讨复发性脑梗死的危险因素及临床特点分析。[方法]选择某院2005年2月～2010年6月期间收治的复发性脑梗死患者86例作为研究组,另选取同期入院治疗的初发性脑梗死患者86例作为对照组。两组患者的年龄、性别、既往病史、并发症、各种危险因素、入院及出院时神经功能缺损评分等相关数据进行统计分析。[结果]与对照组相比,研究组患者不良嗜好为饮酒、伴发为糖尿病、房颤以及家族史有高血压、卒中的比率均较高,差异均有统计学意义(P﹤0.05);研究组患者的死亡率显著提高,高达19.77%,差异有统计学意义(P﹤0.05);研究组患者并发心肌损害的比率显著增高,高达73.26%,差异有统计学意义(P﹤0.05)。[结论]只有充分重视引起复发性脑梗死的危险因素和临床特点,并据此采取积极的防治措施才能有效减少复发性脑梗死的发生。[Objective]To probe into the risk factors and clinical features of recurrent cerebral infarction.[Methods]Selected 86 patients with recurrent cerebral infarction admitted from February 2005-June 2010 as a research group,and 86 cases of earlier onset of cerebral infarction as the control group.The age,gender,past medical history,complications,risk factors,neurological deficit scores at admission and discharge time,and other relevant data in both groups were statistically analyzed.[Results]Compared with control group,drinking as bad habit,associated with diabetes,atrial fibrillation,and family history of hypertension,the higher rate of stroke were found in study group,there were significant differences（P﹤0.05）.The mortality in study group was significantly increased,up to 19.77%,there were also significant differences（P﹤0.05）.The incidence of myocardial damage in study group was significantly higher,up to 73.26%,there were also significant differences（P﹤0.05）.[Conclusion]Only full attention to the risk of factors and clinical characteristics caused by recurrent cerebral infarction,and accordingly to these mentioned above,it should take positive and effective control measures to reduce the incidence of recurrent cerebral infarction.

关 键 词：复发性脑梗死 危险因素 临床特点 

分 类 号：R743[医药卫生—神经病学与精神病学]