CAJ | 학술논문

目的：探讨动脉硬化性脑梗死的危险因素。方法选择2013年1月～2014年12月住院且发病14天内的动脉硬化性脑梗死137例为病例组，纳入同期住院治疗的192例非心脑血管患者为对照组，同时记录两组纳入者的基本情况及脑血管病相关危险因素，测定患者的空腹血糖，尿素氮，肌酐，尿酸，血浆纤维蛋白原，HCY，血脂水平，收缩压，舒张压，颈动脉彩超测定有无动脉硬化及斑块形成，并进行统计学分析。结果单因素分析表明：两组间高血压，颈动脉硬化，吸烟，GLU， HCY，CHO， HDL，LDL，收缩压，舒张压的差异有统计学意义（ P＜0．05）。 LOGISTIC回归分析显示：年龄，高血压，颈动脉硬化，吸烟，LDL，收缩压与动脉硬化性脑梗死有关（ P＜0．05）。结论动脉硬化性脑梗死患者的高危因素进行筛查和干预，对缺血性脑卒中的预防和治疗有重要的意义。
목적：탐토동맥경화성뇌경사적위험인소。방법선택2013년1월～2014년12월주원차발병14천내적동맥경화성뇌경사137례위병례조，납입동기주원치료적192례비심뇌혈관환자위대조조，동시기록량조납입자적기본정황급뇌혈관병상관위험인소，측정환자적공복혈당，뇨소담，기항，뇨산，혈장섬유단백원，HCY，혈지수평，수축압，서장압，경동맥채초측정유무동맥경화급반괴형성，병진행통계학분석。결과단인소분석표명：량조간고혈압，경동맥경화，흡연，GLU， HCY，CHO， HDL，LDL，수축압，서장압적차이유통계학의의（ P＜0．05）。 LOGISTIC회귀분석현시：년령，고혈압，경동맥경화，흡연，LDL，수축압여동맥경화성뇌경사유관（ P＜0．05）。결론동맥경화성뇌경사환자적고위인소진행사사화간예，대결혈성뇌졸중적예방화치료유중요적의의。
Objective To investigate the risk factors of arteriosclerotic cerebral infarction.Methods Choose 2013 January -2014 December in Wuhan City fourteenth Hospital Department of internal medicine hospital arteriosclerotic cerebral infarction onset within 14 days of the 137 patients included, 192 hospitalized non cardiovascular patients as con-trol group, two groups of related risk also recorded into the basic situation and cerebral vascular disease factors for deter-mination of fasting blood glucose, blood urea nitrogen, creatinine, uric acid, patients, plasma fibrinogen, HCY, blood lipid level, systolic blood pressure, diastolic blood pressure, carotid artery color Doppler ultrasound to determine the presence or absence of atherosclerosis and plaque formation, and carries on statistics analysis.Results Single factor a-nalysis showed that: two groups of hypertension, carotid artery atherosclerosis, smoking, GLU, HCY, CHO, HDL, LDL, systolic pressure, diastolic pressure difference has statistics significance( P<0.05).LOGlSTIC regression analysis showed:age, hypertension, carotid artery atherosclerosis, smoking, LDL, systolic blood pressure andarteriosclerotic cer-ebral infarction(P<0.05).Conclusions Dynamic risk factor for patients with arteriosclerosis cerebral infarction for screening and intervention, have important significance for prevention and treatment of ischemic stroke.