影响脑卒中患者并发血管性帕金森综合征的高危因素分析  

High risk factors affecting complicated vascular Parkinsonism in patients with stroke

作　　者：代昌飞 张绒[1] 

机构地区：[1]延安大学咸阳医院神经内科,陕西咸阳712000

出　　处：《西南国防医药》2016年第2期137-139,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的分析导致脑卒中患者并发血管性帕金森综合征(VP)的高危因素,制定防治对策,改善患者的预后和生活质量。方法对入选的280例脑卒中患者每3个月进行1次随访,随访的终点为患者发生VP。统计分析发生VP的影响因素。结果在入选的280例中,发生VP 49例,发病率为17.5%。腔隙性脑梗死患者VP的发病率最高(40.51%),且显著高于其他各型(P<0.05);其他各型之间的VP发生率无统计学差异(P>0.05)。导致脑卒中患者并发VP的高危因素分别是高血压,全血还原比黏度以及脑卒中的病变部位。结论对具有高危因素的脑卒中患者,应该加强监测,针对高危因素采用干预措施,减少VP的发生。Objective To analyze the high risk factors causing complicated vascular Parkinsonism（VP） in patients with stroke in order to make countermeasures of prevention and treatment and improve the patients＂ prognosis and life quality. Methods Follow-ups were made every three months among the selected 280 stroke cases and ended when the patients got VP. The influencing factors of VP were statistically analyzed. Rwsults There were 49 ones of VP among the 280 cases with the attack rate of 17.5%. The patients with lacunar infarction had the highest attack rate of VP （40.51%） which was significantly higher than that of other patients（P 〈 0.05）. There was no significant difference in the attack rates of VP among the patients with other types of diseases （P 〉 0.05）. The high risk factors leading to complications in patients with stroke were high blood pressure, whole blood specific viscosity, and diseased region of stroke. Conclusion Monitoring should be strengthened in the patients with stroke who have high risk factors. Intervention measures should be carried out in order to reduce the incidence of VP.

关 键 词：脑卒中 血管性帕金森综合征 高危因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]