进展性脑梗死的病因分析  

Etiological analysis of progressive cerebral infarction

作　　者：徐婉茹[1] Xu Wanru(Department of Neurology, Heze Municipal Hospital, Heze 274000, Chin)

机构地区：[1]山东省菏泽市立医院神经内科,274000

出　　处：《中国实用医刊》2018年第1期31-34,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨导致进展性脑梗死的相关危险因素。方法收集150例脑梗死患者的病例资料，包括年龄、性别、血压、血脂、血糖、白细胞、心脏病、同型半胱氨酸（Hcy）、吸烟、饮酒、体质量、纤维蛋白原水平、颈动脉狭窄、美国国立卫生研究院脑卒中量表（NIHSS）评分等因素；并根据脑梗死的卒中项目分型，比较非进展性脑梗死和进展性脑梗死中各项因素的分布差异，应用Logistic回归分析方法分析脑梗死的危险因素。结果进展性脑梗死中的Hcy、纤维蛋白原的水平高，颈动脉狭窄、后循环脑梗死的发生率较高，差异均有统计学意义（P均〈0．05）。结论Hcy、颈动脉狭窄、纤维蛋白原、后循环脑梗死与进展性脑梗死密切相关。Objective To investigate the risk factors of progressive cerebral infarction. Methods The data of 150 patients with cerebral infarction were collected, including age, gender, blood pressure, blood lipids, blood glucose, white blood cells, heart disease, homocysteine （Hcy）, smoking, drinking, body mass index （BMI） , fibrinogen levels, carotid artery stenosis, national institutes of health stroke scale （NIHSS） score; according to the stroke classifications of cerebral infarction, the distribution differences of each factor of non progressive cerebral infarction and progressive cerebral infarction were compared, then the risk factors of cerebral infarction were analyzed with Logistic regression analysis. Results The levels of Hcy and fibrinogen were higher in patients with progressive cerebral infarction, and the incidences of carotid stenosis and posterior circulation infarction were higher too, and the differences were significant （ all P 〈 0. 05）. Conclusions Hcy, carotid artery stenosis, fibrinogen and posterior circulation of cerebral infarction are closely related to the progressive cerebral infarction.

关 键 词：进展性脑梗死 病因 预测 

分 类 号：R743.33[医药卫生—神经病学与精神病学]