中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
7期
989-991
,共3页
脑梗死%危险因素%大脑中动脉
腦梗死%危險因素%大腦中動脈
뇌경사%위험인소%대뇌중동맥
Cerebral infarction%Risk factors%Middle cerebral artery
目的 探讨进展性脑梗死的危险因素.方法 回顾性分析2009年6月至2012年12月山西省长治市人民医院的200例急性脑梗死患者的临床资料,按疾病类型分为观察组100例(进展性脑梗死)和对照组100例(完全性脑梗死).观察2组患者的年龄、糖尿病史、高血压病史、冠心病史、吸烟史、饮酒史、平均动脉压、血糖、白细胞计数、颈动脉狭窄、颅内动脉狭窄等因素以及影像学特征.结果 观察组和对照组患者的糖尿病史、平均动脉压、白细胞计数、血糖、低密度脂蛋白胆固醇、颈动脉狭窄、颅内动脉狭窄比较,差异均有统计学意义[58例(58.0％)比43例(43.0％),(115±13) mmHg(1 mmHg =0.133 kPa)比(130±15)mmHg,(8.1±0.8)×109/L比(6.6±0.4)×109/L,(7.5±0.5)mmol/L比(5.6±0.4) mmol/L,(2.2±0.2) mmol/L比(1.5±0.2) mmol/L,48例(48.0％)比34例(34.0％),39例(39.0％)比25例(25.0％)](均P＜0.05).观察组头颅CT早期低密度改变、大脑中动脉高密度征、完全性前循环梗死、分水岭梗死的发生率与对照组比较,差异均有统计学意义[33.0％(33例)比20.0％(20例),13.0％(13例)比6.0％(6例),39.0％(39例)比26.0％(26例),53.0％(53例)比39.0％(39例)](均P＜0.05).结论 平均动脉压、血糖、血脂、颅内外动脉狭窄、发热为进展性脑梗死的危险因素;头颅CT早期低密度影、大脑中动脉高密度征、完全性前循环梗死、分水岭梗死对进展性脑梗死发生有早期预警意义.
目的 探討進展性腦梗死的危險因素.方法 迴顧性分析2009年6月至2012年12月山西省長治市人民醫院的200例急性腦梗死患者的臨床資料,按疾病類型分為觀察組100例(進展性腦梗死)和對照組100例(完全性腦梗死).觀察2組患者的年齡、糖尿病史、高血壓病史、冠心病史、吸煙史、飲酒史、平均動脈壓、血糖、白細胞計數、頸動脈狹窄、顱內動脈狹窄等因素以及影像學特徵.結果 觀察組和對照組患者的糖尿病史、平均動脈壓、白細胞計數、血糖、低密度脂蛋白膽固醇、頸動脈狹窄、顱內動脈狹窄比較,差異均有統計學意義[58例(58.0％)比43例(43.0％),(115±13) mmHg(1 mmHg =0.133 kPa)比(130±15)mmHg,(8.1±0.8)×109/L比(6.6±0.4)×109/L,(7.5±0.5)mmol/L比(5.6±0.4) mmol/L,(2.2±0.2) mmol/L比(1.5±0.2) mmol/L,48例(48.0％)比34例(34.0％),39例(39.0％)比25例(25.0％)](均P＜0.05).觀察組頭顱CT早期低密度改變、大腦中動脈高密度徵、完全性前循環梗死、分水嶺梗死的髮生率與對照組比較,差異均有統計學意義[33.0％(33例)比20.0％(20例),13.0％(13例)比6.0％(6例),39.0％(39例)比26.0％(26例),53.0％(53例)比39.0％(39例)](均P＜0.05).結論 平均動脈壓、血糖、血脂、顱內外動脈狹窄、髮熱為進展性腦梗死的危險因素;頭顱CT早期低密度影、大腦中動脈高密度徵、完全性前循環梗死、分水嶺梗死對進展性腦梗死髮生有早期預警意義.
목적 탐토진전성뇌경사적위험인소.방법 회고성분석2009년6월지2012년12월산서성장치시인민의원적200례급성뇌경사환자적림상자료,안질병류형분위관찰조100례(진전성뇌경사)화대조조100례(완전성뇌경사).관찰2조환자적년령、당뇨병사、고혈압병사、관심병사、흡연사、음주사、평균동맥압、혈당、백세포계수、경동맥협착、로내동맥협착등인소이급영상학특정.결과 관찰조화대조조환자적당뇨병사、평균동맥압、백세포계수、혈당、저밀도지단백담고순、경동맥협착、로내동맥협착비교,차이균유통계학의의[58례(58.0％)비43례(43.0％),(115±13) mmHg(1 mmHg =0.133 kPa)비(130±15)mmHg,(8.1±0.8)×109/L비(6.6±0.4)×109/L,(7.5±0.5)mmol/L비(5.6±0.4) mmol/L,(2.2±0.2) mmol/L비(1.5±0.2) mmol/L,48례(48.0％)비34례(34.0％),39례(39.0％)비25례(25.0％)](균P＜0.05).관찰조두로CT조기저밀도개변、대뇌중동맥고밀도정、완전성전순배경사、분수령경사적발생솔여대조조비교,차이균유통계학의의[33.0％(33례)비20.0％(20례),13.0％(13례)비6.0％(6례),39.0％(39례)비26.0％(26례),53.0％(53례)비39.0％(39례)](균P＜0.05).결론 평균동맥압、혈당、혈지、로내외동맥협착、발열위진전성뇌경사적위험인소;두로CT조기저밀도영、대뇌중동맥고밀도정、완전성전순배경사、분수령경사대진전성뇌경사발생유조기예경의의.
Objective To investigate the risk factors of progressive ischemic cerebral stroke.Methods The clinical data of 200 patients suffering from acute cerebral infarction were retrospectively analyzed and divided into experimental group [100 cases (progressive cerebral infarction)] and control group [100 cases (non-progressive cerebral infarction)] according to the disease type.Age,history of hypertension,diabetes mellitus,coronary heart disease,smoking and alcohol drinking,mean arterial pressure,serum glucose,white blood cell count,serum lipoprotein level,stenosis of carotid and intracranial arteries,characteristics of imaging in two groups were observed.Results Type 2 diabetes mellitus,mean arterial pressure,white blood cell count,serum glucose,serum lipoprotein level,stenosis of carotid and intracranial arteries were more significant in experimental group than those in control group [58 cases (58.0％) vs 43 cases (43.0％),(115 ± 13) mmHg vs (130 ± 15) mmHg,(8.1 ± 0.8) × 109/L vs (6.6 ± 0.4) × 109/L,(7.5 ± 0.5) mmol/L vs (5.6 ± 0.4) mmol/L,(2.2 ± 0.2) mmol/L vs (1.5 ± 0.2) mmol/L,48 cases (48.0％) vs 34 cases (34.0％),39 cases (39.0％) vs 25 cases (25.0％)] (P＜0.05).There were significant differences of the incidence rate of early low density shadow,total anterior circulation infarct,watershed infarction of skull CT in observation group compared with control group [33.0％ (33 cases) vs 20.0％ (20 cases),13.0％ (13 cases) vs 6.0％ (6 cases),39.0％ (39 cases) vs 26.0％ (26 cases),53.0％ (53 cases) vs 39.0％ (39 cases)] (P ＜0.05).Conclusion PCI is related to mean arterial pressure,serum glucose,serum lipoprotein level,stenosis of carotid and intracranial arteries,fever,early low density lesion on cerebral CT,high density of middle cerebral artery,total anterior circulation infarction and watershed infarction.
