进展性缺血性卒中的相关危险因素分析  

作　　者：杨丽慧[1] 杨玉萍[1] 薛寿儒[1] 

机构地区：[1]苏州大学附属第一医院神经内科,215000

出　　处：《浙江临床医学》2016年第4期628-630,共3页Zhejiang Clinical Medical Journal

摘　　要：目的研究促使进展性缺血性卒中发生发展的相关临床因素。方法研究2013年6月至2015年6月263例急性缺血性卒中患者的临床资料，其中78例为进展性缺血性卒中，将同期住院的24h内发病的80例非进展性缺血性卒中患者作为对照组，比较两组患者的年龄、性别以及入院时血压水平、血糖水平、体温、颈动脉粥样硬化及狭窄情况、相关既往史等因素。结果进展组患者入院时血压水平、血糖水平、体温、颈动脉粥样硬化及狭窄程度、糖尿病史与非进展组比较，差异有统计学意义（P〈0．05）。Logistic回归分析显示入院时高血糖、收缩压降低、发热、颈动脉粥样硬化、颈动脉狭窄以及糖尿病史是进展性缺血性卒中发生的独立危险因素。结论入院时高血糖水平、收缩压降低、发热、颈动脉粥样硬化及颈动脉狭窄程度、糖尿病史可作为进展性缺血性卒中发生的预测指标。Objective To study the clinical factors associated with the development of progressive ischemic stroke. Methods To collect the clinical data of 263 patients with acute ischemic stroke admitted in our hospital from June 2015 to June 2013, 78 cases were progressive ischemic stroke among them, and 80 patients with non-progressive ischemic stroke during 24 hours of hospitalization were selected as the control group.The age, gender, blood pressure, blood glucose, body temperature, carotid atherosclerosis and stenosis, and other factors related to the history of the two groups were compared. Results Compared with the control group, the blood pressure, blood glucose, body temperature, carotid atherosclerosis and stenosis degree, diabetes history were significantly different in progressive group （ P〈0.05 ） . Conclusions The factors like high blood glucose levels, systolic blood pressure, fever, carotid atherosclerosis and carotid stenosis, history of diabetes mellitus can be as a predictor of the occurrence of progressive ischemic stroke.

关 键 词：进展性缺血性卒中 危险因素 临床分析 

分 类 号：R743.31[医药卫生—神经病学与精神病学]