68例进展型脑卒中患者相关因素调查及治疗分析  

Investigation into related factors of 68 patients with progressive stroke and treatment analysis

作　　者：黄载文[1] 黄渊智[1] 杨开杰[1] 

机构地区：[1]广西壮族自治区钦州市第二人民医院神经内科,广西钦州535000

出　　处：《实用临床医药杂志》2013年第1期103-105,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨进展型脑卒中的高危因素及综合治疗的疗效。方法回顾性分析68例进展型脑卒中患者以及68例非进展型脑卒中患者的临床资料,对2组相关因素和治疗效果进行统计分析。结果糖尿病、发热、神经功能缺损、血液流变学异常(全血黏度高切、中切、低切)、纤维蛋白原升高以及高密度脂蛋白水平降低是导致进展型脑卒中的高危因素。2组治疗总有效率无显著差异。结论根据高危因素,针对相应靶点,采取早期预防、早期综合性治疗的措施能通过不同环节控制病情发展,提高整体疗效。Objective To explore the therapeutic effects of high - risk factors and compre- hensive treatment of progressive stroke. Methods The clinical data of 68 patients with progressive stroke and 68 patients with non - progressive stroke were retrospectively analyzed, and the related factors and treatment effects of patients in two groups were made statistically analyzed. Results High-risk factors of progressive stroke included diabetes, fever, neurologic impairment, abnormal hemorheology （high-cut, middle-cut and low-cut whole blood viscosity）, increased fibrinogen and decreased level of high - density lipoprotein. The total efficacy rates of the two groups showed no significant difference. Conclusion According to high-risk factors and aiming at corresponding targets, early prevention and comprehensive treatment should be taken to control the progression of the disease by different links so as to improve the overall therapeutic effect.

关 键 词：进展型 脑卒中 因素 治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]