进展性脑梗死相关危险因素分析

目的 探讨进展性脑梗死的相关危险因素.方法 选取急性进展性脑梗死患者及完全型脑梗死患者各112例,分别作为观察组和对照组,观察记录两组患者血压、入院24h体温、白细胞计数、胆固醇、三酰甘油、血糖、纤维蛋白原及颅外动脉彩超.结果 两组患者入院24h体温、收缩压、白细胞计数、血糖、胆固醇、三酰甘油及纤维蛋白原指标比较差异均有统计学意义(均P ＜0.05),观察组大血管狭窄率为57.14％,高于对照组的19.64％(x2=13.462,P＜0.01).结论 感染、收缩压下降、血糖升高、高脂血症、高纤维蛋白原血症及血管狭窄均为进展性脑梗死危险因素.

The risk factors of progressive cerebral infraction

Objective To explore the risk factors of progressive cerebral infraction. Methods 112 cases with progressive cerebral infarction and 112 cases of acute cerebral infarction were selected. Patients were observed and recorded blood pressure, temperature, WBC, cholesterol, GLU and fibrinogen. Results The differences between blood pressure, temperature, WBC, cholesterol, GLU, fibrinogen and artery stenosis were statistically significant. Conclusion Infections, systolic blood pressure decreased, hyperglycemia, hyperlipidemia, and large artery stenosis were related to progressive cerebral infarction.