多发性脑梗死合并代谢综合征临床特点及预后分析  

Clinic feature and prognosis of patients who have multiple cerebral infarction complicated with metabolic syndrome

作　　者：蔡敏[1] 孙屿[2] 潘伟[3] 胡雪玲[4] 

机构地区：[1]广东医学院附属三水医院内科,528100 [2]广东医学院附属三水医院神经内科,528100 [3]广州医学院 [4]广东医学院附属三水医院康复医学科,528100

出　　处：《中国实用医药》2011年第17期9-11,共3页China Practical Medicine

摘　　要：目的提高对多发性脑梗死合并代谢综合征临床特点的认识,提高治疗有效率。方法对2003年1月至2010年12月住院治疗的多发性脑梗死患者按有无合并代谢综合征进行分组回顾性对比分析。结果两组在患病年龄(<60)、病程、肥胖率、意识障碍率、记忆障碍率、治疗无效率、疗程等方面比较,差异有统计学意义(P<0.05)。结论合并MS的MCI有发病年轻化趋势,血糖、血脂、HDL-C、病程、意识障碍、记忆力障碍发生率,颅内病灶明显增多,再发率、死亡率明显增高,表明合并MS的MCI患者危险性较无合并者明显升高,预后不良,严重影响老年人健康和生活质量。要注意关注在该人群中对各种异常代谢指标的早期筛查与及早干预。Objective To improve the realization of clinic feature of patients who have multiple cerebral infarction complicated with metabolic syndrome and raise the therapy effectiveness. Methods A retrospective contrastive analysis of patients who had multiple cerebral infarction complicated with metabolic syndrome in hospital from January 2003 to December 2010. Results Age,pathogenesis,prevalence of obesity,consciousness disorders,memory disorders and treatment futility and course of treatment were different between patients who had multiple cerebral infarction complicated with metabolic syndrome.Conclusion Patients who had multiple cerebral infarction complicated with metabolic syndrome are more younger,havd higher prevalence of blood glucose disorder,lipid metabolism disorder,HDL-C abnormality,long pathogenesis,consciousness disorders,memory disorders,intracalvarium focus and recurrence,and had higher mortality.This indicates that these patients have high risk and unfavourable prognosis,low life quality. It is important to screen and intervene the patients who had multiple cerebral infarction complicated with metabolic syndrome at early stage.

关 键 词：多发性脑梗死 代谢综合征 临床特点 预后 

分 类 号：R589[医药卫生—内分泌] R743.3[医药卫生—内科学]