CAJ | 학술논문

目的：探讨短暂性脑缺血发作( TIA)进展为脑梗死的危险因素。方法：选取129例TIA患者,其中32例在6个月内最终进展为脑梗死(脑梗死组),97例病情未进展( TIA组)；对2组临床资料进行对比,并将所得数据进行统计学分析。结果：脑梗死组有高血压史、颈动脉不稳定斑块、糖尿病史、发作持续时间≥30 min和发作次数≥3次,均高于TIA组( P<0.05~P<0.01)。2组患者性别、有无吸烟史和有无冠心病史差异均无统计学意义(P>0.05)。脑梗死组患者年龄大于TIA组(P<0.05)。而2组患者空腹血糖、三酰甘油、胆固醇、低密度脂蛋白和血尿酸水平差异均无统计学意义(P>0.05)。结论：TIA发作持续时间长、发作次数多,尤其有高血压病、糖尿病、高龄、颈动脉不稳定斑块者短期内进展为脑梗死的危险性较高。
목적：탐토단잠성뇌결혈발작( TIA)진전위뇌경사적위험인소。방법：선취129례TIA환자,기중32례재6개월내최종진전위뇌경사(뇌경사조),97례병정미진전( TIA조)；대2조림상자료진행대비,병장소득수거진행통계학분석。결과：뇌경사조유고혈압사、경동맥불은정반괴、당뇨병사、발작지속시간≥30 min화발작차수≥3차,균고우TIA조( P<0.05~P<0.01)。2조환자성별、유무흡연사화유무관심병사차이균무통계학의의(P>0.05)。뇌경사조환자년령대우TIA조(P<0.05)。이2조환자공복혈당、삼선감유、담고순、저밀도지단백화혈뇨산수평차이균무통계학의의(P>0.05)。결론：TIA발작지속시간장、발작차수다,우기유고혈압병、당뇨병、고령、경동맥불은정반괴자단기내진전위뇌경사적위험성교고。
Objective:To investigate the risk factors of transient ischemic attack( TIA) evolving into cerebral infarction. Methods:The clinical data of 32 cases with TIA evolving into cerebral infarction( cerebral infarction group) and 97 cases with TIA no-evolving into cerebral infarction(TIA group) within 6 months were statistically analysed. Results:The indicators of hypertension,unstable carotid plaques,diabetes,duration of attack more than or equal to 30 minutes and attack frequency more than or equal to 3 times in cerebral infarction group were higher than those in TIA group(P<0. 05 to P<0. 01). The differences of sex,smoking history and coronary heart disease between two groups were not statistically significant(P>0. 05). The patient age of cerebral infarction group was higher than that in TIA group(P<0. 05). The differences of the levels of FBG,triglycerides,cholesterol,LDL and serum uric acid between two groups were not statistically significant(P>0. 05). Conclusions:The incidences of TIA evolving into cerebral infarction in the patients with long lasting time and frequent attacking of TIA complicated with hypertension,diabetes,advanced age and unstable carotid plaques are higher.