中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
5期
3306-3306
,共1页
伍书元%杨冰洁%张钦林%杨剑文%杨期明
伍書元%楊冰潔%張欽林%楊劍文%楊期明
오서원%양빙길%장흠림%양검문%양기명
脑梗死%老年人
腦梗死%老年人
뇌경사%노년인
Cerebral infarction%Older people
目的：分析老年人脑梗死的临床特点。方法：回顾性分析87例老年脑梗死患者的临床资料，探讨其病因、危险因素和预后等临床特点。结果：有明确病因者78例(89.66%)，其中动脉粥样硬化75例(86.20%)，心源性脑栓塞10例(11.49%)，病因不明者2例(2.30%)。主要危险因素有高血压病、糖尿病、房颤、血脂异常、脑血管疾病家族史、肥胖、吸烟、酗酒、TIA 病史等。经治疗基本痊愈45例(51.72%)，显著进步17例(19.54%)，进步15例(17.24%)，无变化10例(11.49%)。结论：老年人脑梗死的病因以动脉粥样硬化、心源性脑栓塞最常见。以高血压病、糖尿病、房颤、血脂异常等为最常见的危险因素，大多数患者预后较好。
目的：分析老年人腦梗死的臨床特點。方法：迴顧性分析87例老年腦梗死患者的臨床資料，探討其病因、危險因素和預後等臨床特點。結果：有明確病因者78例(89.66%)，其中動脈粥樣硬化75例(86.20%)，心源性腦栓塞10例(11.49%)，病因不明者2例(2.30%)。主要危險因素有高血壓病、糖尿病、房顫、血脂異常、腦血管疾病傢族史、肥胖、吸煙、酗酒、TIA 病史等。經治療基本痊愈45例(51.72%)，顯著進步17例(19.54%)，進步15例(17.24%)，無變化10例(11.49%)。結論：老年人腦梗死的病因以動脈粥樣硬化、心源性腦栓塞最常見。以高血壓病、糖尿病、房顫、血脂異常等為最常見的危險因素，大多數患者預後較好。
목적：분석노년인뇌경사적림상특점。방법：회고성분석87례노년뇌경사환자적림상자료，탐토기병인、위험인소화예후등림상특점。결과：유명학병인자78례(89.66%)，기중동맥죽양경화75례(86.20%)，심원성뇌전새10례(11.49%)，병인불명자2례(2.30%)。주요위험인소유고혈압병、당뇨병、방전、혈지이상、뇌혈관질병가족사、비반、흡연、후주、TIA 병사등。경치료기본전유45례(51.72%)，현저진보17례(19.54%)，진보15례(17.24%)，무변화10례(11.49%)。결론：노년인뇌경사적병인이동맥죽양경화、심원성뇌전새최상견。이고혈압병、당뇨병、방전、혈지이상등위최상견적위험인소，대다수환자예후교호。
Objective:To explore the clinical characters of cerebral infarction on older patients Methods:87 cases of cerebral infarctions on older patients were retrospectively studied to explore its clinical characters such as the cause, dangerous factors and recovery Results There were 78 cases of cerebral infarction with clear causes ( 89.66%) , among which 75 cases were arteriosclerosis ( 86.20%) , 10 cases were cardiogenic cerebralinfarction ( 11.49%) , 2 cases with unclear causes ( 2.30%) .The main dangerous factors included smoking, hypertension, abnormal blood fat, familial cerebrovascular disease, obesity,alcoholism, TIA medical record, diabetes and atria tril 1 There were 45 cases of basic recovery after therapy ( 51.72%) ,17 cases of obvious improvement(19.54%) , 15 cases of improvement ( 17.24%) and 10cases remained unchanged ( 11.49%) Conclusion:The most common causes for cerebral infarction on older patients include arteriosclerosis, cardiogenic cerebral thrombus.The most common dangerous factors are smoking, hypertension and abnormal blood fat. Most of the patients recover wel .
