摘要
目的探讨并总结诱发进展性脑卒中的主要相关危险因素,为临床治疗提供参考依据。方法将我院自2009-02—2011-06收治的进展性脑卒中54例病人作为观察组;随机抽取同期我院收治的非进展性卒中52例病人作为对照组,对比分析2组脑卒中病人主要危险因素。结果 54例进展性脑卒中病人中存在高血压者38例,占70.5%,52例对照组中存在高血压26例,占50.4%,2组病例数相比差异具有统计学意义(P<0.05);观察组患高血糖36例,占65.9%;对照组患高血糖19例,占35.7%,2组病例数相比差异具有统计学意义(P<0.05);观察组有高胆固醇42例,而对照组为34例,2组相比差异无统计学意义(P>0.05)。观察组中感染11例,占19.7%,对照组感染7例,占12.6%,2者感染率相比差异具有统计学意义(P<0.05);观察组病人颈部血管狭窄27例,其中18例为颈动脉,9例为椎动脉,对照组动脉狭窄11例,其中8例为颈动脉,3例为椎动脉,2组相比差异具有统计学意义(P<0.01)。结论高血压、高血糖、近期感染以及动脉粥样狭窄是诱发进展性脑卒中的主要危险因素,临床上应给予足够重视。
Objective To investigate and summarize the main risk factors associated with induced stroke in progression, and to provide a reference basis for clinical treatment. Methods Totally 54 cases of progressive stroke patients admitted to our hospital from February 2009 to June 2011 as observation group; 52 cases of non-progressive stroke over the same period in our hospital as control group. The major risk factors in stroke patients were compared. Results In 54 cases of progressive stroke patients, 38 cases with hypertension, accounting for 70.5%; 26 cases in control group, accounting for 50.4%, there was a significant difference between the two groups（P〈0.05）, in observation group, 36 cases sufiered from high blood sugar, ac counting for 65.9%; 19 cases （35.7%） in control group, the difference was significant between two groups（P〈0.05）. Some 42 cases of high cholesterol in observation group, while 34 cases in control group, which showed no significant difference （P〉 0. 05） in the two groups. Some 11 cases of infected patients in the observation group, accounting for 19.7%, 7 cases （12.6%） with infection in control group, there was a significant difference（P〈0. 05）. Some 27 cases with neck artery stenosis in observation group, 18 cases of carotid artery, 9 cases of vertebral artery~ 11 cases with artery stenosis in control group, 8 cases of carotid artery, 3 cases of vertebral artery, the differences was significant （P〈0. 01）. Conclusion Hypertension, high blood sugar, recent infections, and atherosclerosis stenosis are the major risk factors for stroke in progression, clinical practice should be given enough attention.
出处
《中国实用神经疾病杂志》
2012年第18期12-13,共2页
Chinese Journal of Practical Nervous Diseases
关键词
进展性脑卒中
非进展性脑卒中
危险因素
Progressive stroke
Non--progressive stroke
Related risk factors
