CAJ | 학술논문

目的：探讨进展性缺血性脑卒中临床诊断与治疗中的危险因素。方法选取2010—2013年我院住院治疗的进展性与非进展性缺血性脑卒中患者各40例，对2组患者的临床资料进行对比分析。结果2组患者高热、高血压发生率无明显差异（P＞0.05），观察组高血糖、同型半胱氨酸偏高比例以及降压后进展率均明显高于对照组（P＜0.05），颈动脉不稳定斑块检出率、中度与重度狭窄率明显高于对照组（P＜0.05），各项生化指标均与对照组差异显著（P＜0.05）。结论降压不合理、生化指标（血糖、全血黏度、纤维蛋白原偏高，高密度脂蛋白偏低）异常、颈动脉不稳定斑块以及中重度狭窄均为进展性缺血性脑卒中的危险因素。
목적：탐토진전성결혈성뇌졸중림상진단여치료중적위험인소。방법선취2010—2013년아원주원치료적진전성여비진전성결혈성뇌졸중환자각40례，대2조환자적림상자료진행대비분석。결과2조환자고열、고혈압발생솔무명현차이（P＞0.05），관찰조고혈당、동형반광안산편고비례이급강압후진전솔균명현고우대조조（P＜0.05），경동맥불은정반괴검출솔、중도여중도협착솔명현고우대조조（P＜0.05），각항생화지표균여대조조차이현저（P＜0.05）。결론강압불합리、생화지표（혈당、전혈점도、섬유단백원편고，고밀도지단백편저）이상、경동맥불은정반괴이급중중도협착균위진전성결혈성뇌졸중적위험인소。
Objective To observe the risk factors of clinical diagnosis and treatment for ischemic progressing stroke. Methods Forty cases with progressing and non‐progressing stroke treated in our hospital from 2010 to 2013 were selected.The clinical diagnosis data of two groups was compared. Results There was no evident difference for incidence rate of fever and high blood pressure between two groups (P>0.05). The proportion of hyperglycemia and homocysteine ,and progression rate of after depressurization in the observation group was evidently higher than that in the control group(P<0.05). And there was evident difference for biochemical indexes from the control group(P<0.05). Conclusion Irrational depressurization ,ab‐normal biochemical indexes (high blood sugar ,blood viscosity and fibrinogen ,and low high‐density lipoprotein) ,unstable plaque of carotid artery and moderately severe stenosis are risk factors of progressing stroke.