进展性脑卒中的多因素分析  

ON THE MULTIPLE FACTORS IN PROGRESSIVE STROKE

作　　者：王洪新[1] 马春花[1] 吴新华[1] 崔传斌 

机构地区：[1]滨州医学院附属医院神经科,滨州市256603 [2]博兴县中医院

出　　处：《滨州医学院学报》2003年第6期406-408,共3页Journal of Binzhou Medical University

摘　　要：目的 :探讨高血压、糖尿病、颈动脉硬化斑块与进展性脑卒中的相互关系。方法 :回顾性分析了 62例进展性卒中患者临床资料 ,对其血压、血糖、血脂及病变的严重程度进行了相关分析研究。结果 :62例进展性卒中患者伴高血压者 5 5例 ,其中 42例收缩压低于 2 0 k Pa,舒张压大于 1 2 k Pa,脉压大于 4k Pa,明显高于对照组 ( P<0 .0 1 ) ;颈动脉超声检查发现颈动脉硬化斑块者 5 6例 ,其中软斑 2 8例 ,溃疡斑 2 6例 ,硬斑 2例。结论 :高血压、糖尿病及动脉硬化斑块与进展性脑卒中的发生发展密切相关 。Objective:To explore lots of factors in progressive stroke(PS).Methods:62 cases PS patients were retrospectively studied,and relevent factors of PS,which include blood pressure,blood glucose,and blood lipid level as well as carotid artery arterioclerotic plaques,were analysed.Results:Results showed that 55 cases of 62 PS were accompanied with hypertension.Among them,42 patients' systolic pressure was less than 20 kPa and diastolic pressure more than 12 kPa,which were much higher than those of control ( P <0 01).In addtion,30 patients were accompanied with diabetes, and the number was obviously higher than that of the control which had only 15 ( P <0 01).At the same time,56 cases with carotid artery arteriosclerotic plaques including soft plaque 28 cases,ulcer plaque 26 cases and hard plaque 2 cases were found.The rate was higher than that of control group ( P <0 01).Conclusion:Hypertension,diabetes and artery arteriosclerotic plaques are closely related to PS.To study these risk factors is of very importance for us to prevent PS.

关 键 词：高血压 糖尿病 卒中 动脉硬化斑块 

分 类 号：R743[医药卫生—神经病学与精神病学]