CAJ | 학술논문

目的：分析短暂脑缺血转化为脑部病变的危险因素。方法对2008年5月至2012年5月在我科住院的短暂脑缺血患者（transient ischemic attack TIA ）资料进行统计分析。结果136例TIA患者中49例（36.03%）发生脑梗死：其中颈内动脉系统TIA 112例中38例（33.93%）发生脑梗死：椎-基底动脉系统TIA 20例中10例（50.0%）发生脑梗死。两个系统的脑梗死的发生率差异具有显著性差异（P＜0.05）。77.54%的脑梗死发生在TIA后一个月内。发生脑梗死组的的血压、血糖比无脑梗死组高（P＜0.05）。结论患者TIA后缺血性脑梗死大多发生在急性期，发作时间长，发作频次多，发作后未进行及时的干预治疗，尤其同时伴有高血压、高血脂、高血糖的患者发生脑梗死的危险性将大大增加。
목적：분석단잠뇌결혈전화위뇌부병변적위험인소。방법대2008년5월지2012년5월재아과주원적단잠뇌결혈환자（transient ischemic attack TIA ）자료진행통계분석。결과136례TIA환자중49례（36.03%）발생뇌경사：기중경내동맥계통TIA 112례중38례（33.93%）발생뇌경사：추-기저동맥계통TIA 20례중10례（50.0%）발생뇌경사。량개계통적뇌경사적발생솔차이구유현저성차이（P＜0.05）。77.54%적뇌경사발생재TIA후일개월내。발생뇌경사조적적혈압、혈당비무뇌경사조고（P＜0.05）。결론환자TIA후결혈성뇌경사대다발생재급성기，발작시간장，발작빈차다，발작후미진행급시적간예치료，우기동시반유고혈압、고혈지、고혈당적환자발생뇌경사적위험성장대대증가。
Objective to analyze transient cerebral ischemia is converted into the risk factors of brain lesions. Methods in May 2008-May 2012 in our department in hospital patients with transient ischemic (transient ischemic attack TIA) data for statistical analysis. Results 136 patients with TIA:49 cases (36.03%) occur in the cerebral infarction of internal carotid artery system TIA 38 cases (33.93%) occurred in 112 cases of cerebral infarction:vertebral-basilar artery system 10 cases (50.0%) occurred in 20 patients with TIA of cerebral infarction. Difference in the incidence of cerebral infarction, the two systems have signiifcant difference ( P<0.05). 77.54%of cerebral infarction occurred within one month after TIA. Blood pressure, blood sugar in the cerebral infarction group is higher than no cerebral infarction group ( P<0.05). Conclusion patients with TIA occurs mostly in the acute phase of ischemic cerebral infarction, onset time, attack frequency, after not timely intervention treatment, especially at the same time with patients of hypertension, hyperlipidemia, hyperglycemia occur would greatly increase the risk of cerebral infarction.