常德地区128例老年复发性脑梗死影响因素临床分析  

Analysis of the influence factors of 128 elderly patients with recurrent cerebral infarction in Changde area

作　　者：朱建明[1] 向绪林[1] 郭桂香[1] 高云春[1] 苏化庆[1] 徐平[1] 

机构地区：[1]湖南省常德市第一人民医院神经内科,湖南常德415000

出　　处：《中国现代医学杂志》2014年第6期98-100,共3页China Journal of Modern Medicine

基　　金：常德市科技局基金资助项目(No:2012SK45)

摘　　要：目的通过对老年复发性脑梗死(RCI)患者的临床资料进行分析,探讨老年RCI患者的影响因素。方法提取常德市多中心脑卒中登记数据库中RCI老年患者128例为RCI组,同时提取同期初发性脑梗死(FCI)老年患者196例为FCI组,记录患者的临床资料并对其临床资料进行回顾性分析。结果 RCI组与FCI组脑梗死影响因素高血压病、糖尿病、心房纤颤、高脂血症、吸烟及肥胖等差异无显著性(P>0.05);高血压病、糖尿病、心房纤颤、高脂血症、吸烟、肥胖、HHCY、脑动脉狭窄、服药依从性、卒中后康复以及卒中后抑郁等为RCI影响因素。结论积极干预老年RCI的影响因素对预防老年RCI十分重要。[ Objective ] To analyze the clinical data of elderly recurrent cerebral infarction （RCI）, to explore factors of recurrence in elderly patients with RC1. [Methods] Patients with RCI extraction method of Changde area center stroke registration database for 128 elderly patients as RCI group, at the same time-extraction from 196 el- derly patients FCI as FCI group, recording in patients with clinical data were retrospectively analyzed the clinical data. [ Results ] Statistically significant factors in RCI group and FCI group cerebral infarction risk results hyperten- sion, Atrialfibrillation, diabetes, hyperlipidemia, smoking, other differences （P 〉0.05）, hypertension, atrialfibrillation, diabetes, hyperlipidemia, smoking, obesity, HHCY, cerebral-artery-stenosis, compliance after rehabilitation, stroke, depression after stroke and factors for RCI. [ Conclusions ] Factors affecting the conclusion positive intervention for elderly RCI is very important for the prevention of elderly RCI.

关 键 词：复发性脑梗死 初发性脑梗死 影响因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]