CAJ | 학술논문

目的探讨200例脑梗死患者预后的相关因素，为早期治疗及预防提供参考依据。方法随机抽取2009-05-2012-11就诊于本院200例脑梗死患者的年龄、性别及导致脑梗死主要预后因素梗死面积的大小、部位、相关并发症进行分析。结果200例脑梗死患者以56～84岁为发病高峰，明显高于其他发病年龄段，差异有统计学意义（P＜0.05）。梗死面积≥45mm的病死率明显高于梗死面积≤15mm、16～44mm，差异有统计学意义（P＜0.05）；小脑梗死部位的病死率明显高于脑干病死率（P＜0.05）；并发肺部感染、昏迷者与无并发症者有明显差异（P＜0.05）。结论患者发病年龄、性别以及梗死面积的大小、部位是影响脑梗死的预后的重要危险因素。
목적탐토200례뇌경사환자예후적상관인소，위조기치료급예방제공삼고의거。방법수궤추취2009-05-2012-11취진우본원200례뇌경사환자적년령、성별급도치뇌경사주요예후인소경사면적적대소、부위、상관병발증진행분석。결과200례뇌경사환자이56～84세위발병고봉，명현고우기타발병년령단，차이유통계학의의（P＜0.05）。경사면적≥45mm적병사솔명현고우경사면적≤15mm、16～44mm，차이유통계학의의（P＜0.05）；소뇌경사부위적병사솔명현고우뇌간병사솔（P＜0.05）；병발폐부감염、혼미자여무병발증자유명현차이（P＜0.05）。결론환자발병년령、성별이급경사면적적대소、부위시영향뇌경사적예후적중요위험인소。
Objective To investigate the related factors for the prognosis of 200 patients with cerebral infarction and to provide evidence for early treatment and prevention .Methods Totally 200 patients with cerebral infarction who received treat-ment in our hospital from May 2009 to November 2012 were randomly selected .Statistical analysis was made according to pa-tients'age ,gender ,as well as infarct size ,infarct site and complications related to the major prognosis factors of cerebral in-farction .Results The peak age of cerebral infarction was 56 to 84 years among the 200 patients .The incidence of cerebral in-farction in this age group (56-84 years) was significantly higher than that of other age groups (P<0 .05) ,with a statistically significant difference .The mortality of cerebral infarction with an infarct size no less than 45 mm was significantly higher than that with infarct sizes no more than 15 mm or 16 to 44 mm ,with a statistical significance (P<0 .05) .The mortality of cerebel-lar infarction was significantly higher that that of brain stem infarction (P<0 .05) .Significant difference was observed between patients with and without complications ,such as pulmonary infection and coma (P<0 .05) .Conclusion The major risk factors for the prognosis of cerebral infarction include age ,gender as well as the infarct size and site .