中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
33期
21-22
,共2页
脑梗死%进展性脑梗死%危险因素
腦梗死%進展性腦梗死%危險因素
뇌경사%진전성뇌경사%위험인소
Cerebral infarction%Progressive cerebral infarction%Risk factors
目的：探讨进展性脑梗死相关临床危险因素。方法192例急性脑梗死患者，其中70例发展为进展性脑梗死，作为观察组；其余122例未发展为进展性脑梗死，作为对照组。观察两组患者相关临床因素。结果观察组患者中糖尿病病史所占比例高于对照组，差异有统计学意义(P<0.05)；观察组患者中饮酒患者所占比例高于对照组，差异有统计学意义(P<0.05)。观察组收缩压、空腹血糖、甘油三酯和总胆固醇和对照组比较，差异有统计学意义(P<0.05)。观察组C反应蛋白、纤维蛋白原水平和对照组比较，差异有统计学意义(P<0.05)。结论糖尿病病史，饮酒，收缩压降低，血糖水平升高，甘油三酯、总胆固醇、C反应蛋白、纤维蛋白原水平升高均为进展性脑梗死的危险因素，值得临床借鉴。
目的：探討進展性腦梗死相關臨床危險因素。方法192例急性腦梗死患者，其中70例髮展為進展性腦梗死，作為觀察組；其餘122例未髮展為進展性腦梗死，作為對照組。觀察兩組患者相關臨床因素。結果觀察組患者中糖尿病病史所佔比例高于對照組，差異有統計學意義(P<0.05)；觀察組患者中飲酒患者所佔比例高于對照組，差異有統計學意義(P<0.05)。觀察組收縮壓、空腹血糖、甘油三酯和總膽固醇和對照組比較，差異有統計學意義(P<0.05)。觀察組C反應蛋白、纖維蛋白原水平和對照組比較，差異有統計學意義(P<0.05)。結論糖尿病病史，飲酒，收縮壓降低，血糖水平升高，甘油三酯、總膽固醇、C反應蛋白、纖維蛋白原水平升高均為進展性腦梗死的危險因素，值得臨床藉鑒。
목적：탐토진전성뇌경사상관림상위험인소。방법192례급성뇌경사환자，기중70례발전위진전성뇌경사，작위관찰조；기여122례미발전위진전성뇌경사，작위대조조。관찰량조환자상관림상인소。결과관찰조환자중당뇨병병사소점비례고우대조조，차이유통계학의의(P<0.05)；관찰조환자중음주환자소점비례고우대조조，차이유통계학의의(P<0.05)。관찰조수축압、공복혈당、감유삼지화총담고순화대조조비교，차이유통계학의의(P<0.05)。관찰조C반응단백、섬유단백원수평화대조조비교，차이유통계학의의(P<0.05)。결론당뇨병병사，음주，수축압강저，혈당수평승고，감유삼지、총담고순、C반응단백、섬유단백원수평승고균위진전성뇌경사적위험인소，치득림상차감。
Objective To explore the related clinical risk factors of progressive cerebral infarction. Methods A total of 192 acute cerebral infarction patients were selected. There were 70 cases of them developed into progressive cerebral infarction, and they were taken as observation group. The other 122 cases were taken as control group without the progress of progressive cerebral infarction. The related clinical factors of the two groups were observed. Results The proportion of patients with diabetes history in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The proportion of alcohol consumption patients in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The systolic blood pressure, fasting blood glucose, triglyceride and total cholesterol levels of the observation group had significant differences, compared with those in the control group (P<0.05). The levels of C reactive protein and fibrinogen of the observation group had significant differences, compared with those in the control group (P<0.05). Conclusion The risk factors of progressive cerebral infarction mainly include diabetes history, alcohol consumption, low level of systolic blood pressure, and high levels of blood glucose, triglyceride, total cholesterol, C reactive protein and fibrinogen. These factors are worthy of clinical reference.
