短暂性脑缺血发作进展为脑梗死的危险因素及预防措施  

The risk factors and preventive measures of transient ischemic attack progressed to cerebral infarction

作　　者：王建辉 黄盘冰 瞿永梅 

机构地区：[1]南通市通州区第三人民医院神经内科,江苏南通226311

出　　处：《中国实用神经疾病杂志》2017年第23期32-34,共3页Chinese Journal of Practical Nervous Diseases

基　　金："十二五"国家科技支撑计划(编号:2011BAI08B02)

摘　　要：目的探讨短暂性脑缺血发作(TIA)进展至脑梗死的危险因素及预防措施。方法短暂性脑缺血发作进展至脑梗死患者50例(观察组),选择同期短暂性脑缺血发作重复发作未进展为脑梗死的50例患者为对照组,比较2组相关因素。结果观察组首次发作持续时间(37.64±5.60)min、存在高血压78.00%、糖尿病48.00%、高脂血症76.00%、颈部血管斑块78.00%,高于对照组的(24.45±5.33)min、52.00%、28.00%、50.00%、58.00%(P<0.05);观察组二级预防依从性44.00%,低于对照组的80.00%(P<0.05);2组男/女比例(26/24)vs(27/23),年龄(65.25±5.32)岁vs(64.28±4.98)岁无显著性差异(P>0.05)。结论多种因素导致短暂性脑缺血发作脑梗死,应及时进行有效的综合干预,避免短暂性脑缺血发作向脑梗死转变。Objective To investigate the risk factors and preventive measures for transient ischemic attack （TIA） progressed to cerebral infarction. Methods Fifty cases of TIA progressed to cerebral infarction patients （observation group） and 50 cases of TIA patients did not progress to cerebral infarction （control group） were selected. The differences of related factors between the two groups were compared. Results In the observation group, the duration of first episode （37.64± 5.60） min, the presence of hypertension （78.00%）,diabetes （48.00%）, hyperlipidemia （76.00%）, neck vascular plaque （78.00%） was higher than that of the control group（（24.45±5.33） min, 52.00%, 28.0%, 50.00%, 58.00%）, respectively （P〈0. 05）. The secondary preventive compliance of observation group （44.00%） was lower than that of the control group （80.00% ,P〈0. 05）. Conclusion Multiple factors lead to the occurrence of TIA progressed to cerebral infarction, and the effective and comprehensive intervention should be carried out in time to avoid transition to cerebral infarction in patients with TIA.

关 键 词：短暂性脑缺血发作 脑梗死 危险因素 预防措施 椎基底动脉供血不足 

分 类 号：R743.33[医药卫生—神经病学与精神病学]