中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
19期
36-38
,共3页
短暂性脑缺血发作%脑梗死%危险因素%ABCD2评分
短暫性腦缺血髮作%腦梗死%危險因素%ABCD2評分
단잠성뇌결혈발작%뇌경사%위험인소%ABCD2평분
Transient ischemic attact(TIA)%Cerebral infarction%Risk factors%ABCD2 scores
目的：探讨短暂性脑缺血发作短期(30 d内)进展至脑梗死的临床危险因素。方法分析我院神经内科162例短暂性脑缺血发作进展至脑梗死患者的临床资料，按住院期间是否发生脑梗死，将其分为进展组及非进展组，对两组患者的性别、年龄、吸烟史、饮酒史、脑卒中家族史、既往脑梗死病史、高血压病史、入院时收缩压、舒张压、糖尿病史、空腹血糖、心脏病、高脂血症、高同型半胱氨酸血症、单次发作持续时间>30 min、发作次数>3次、颈动脉斑块、脑血管狭窄进行比较，并采用ABCD2评分法观察短暂性脑缺血发作患者30 d内进展为脑梗死的情况。结果进展组患者中有高血压、糖尿病史以及单次发作持续时间>30 min者较非进展组多见(P<0.05)，进展组患者空腹血糖水平较非进展组高(P<0.05)，TIA患者不同ABCD2评分值的脑梗死发生率差异有统计学意义(P<0.05)。结论高血压病史、糖尿病史、空腹血糖水平、TIA单次发作持续时间>30 min、ABCD2评分≥4分与短暂性脑缺血发作进展至脑梗死的发生相关。
目的：探討短暫性腦缺血髮作短期(30 d內)進展至腦梗死的臨床危險因素。方法分析我院神經內科162例短暫性腦缺血髮作進展至腦梗死患者的臨床資料，按住院期間是否髮生腦梗死，將其分為進展組及非進展組，對兩組患者的性彆、年齡、吸煙史、飲酒史、腦卒中傢族史、既往腦梗死病史、高血壓病史、入院時收縮壓、舒張壓、糖尿病史、空腹血糖、心髒病、高脂血癥、高同型半胱氨痠血癥、單次髮作持續時間>30 min、髮作次數>3次、頸動脈斑塊、腦血管狹窄進行比較，併採用ABCD2評分法觀察短暫性腦缺血髮作患者30 d內進展為腦梗死的情況。結果進展組患者中有高血壓、糖尿病史以及單次髮作持續時間>30 min者較非進展組多見(P<0.05)，進展組患者空腹血糖水平較非進展組高(P<0.05)，TIA患者不同ABCD2評分值的腦梗死髮生率差異有統計學意義(P<0.05)。結論高血壓病史、糖尿病史、空腹血糖水平、TIA單次髮作持續時間>30 min、ABCD2評分≥4分與短暫性腦缺血髮作進展至腦梗死的髮生相關。
목적：탐토단잠성뇌결혈발작단기(30 d내)진전지뇌경사적림상위험인소。방법분석아원신경내과162례단잠성뇌결혈발작진전지뇌경사환자적림상자료，안주원기간시부발생뇌경사，장기분위진전조급비진전조，대량조환자적성별、년령、흡연사、음주사、뇌졸중가족사、기왕뇌경사병사、고혈압병사、입원시수축압、서장압、당뇨병사、공복혈당、심장병、고지혈증、고동형반광안산혈증、단차발작지속시간>30 min、발작차수>3차、경동맥반괴、뇌혈관협착진행비교，병채용ABCD2평분법관찰단잠성뇌결혈발작환자30 d내진전위뇌경사적정황。결과진전조환자중유고혈압、당뇨병사이급단차발작지속시간>30 min자교비진전조다견(P<0.05)，진전조환자공복혈당수평교비진전조고(P<0.05)，TIA환자불동ABCD2평분치적뇌경사발생솔차이유통계학의의(P<0.05)。결론고혈압병사、당뇨병사、공복혈당수평、TIA단차발작지속시간>30 min、ABCD2평분≥4분여단잠성뇌결혈발작진전지뇌경사적발생상관。
Objective To explore the clinical risk factors on cerebral infarction in progressing after transient ischemic attact (TIA) in a short time (in 30 days). Methods A total of 162 cases of TIA administrated in our hospital were per-formed to retrospective analyze. All cases were divided into two groupsCIP group and non-CIP group, and gender, age, the history of tobacco, alcohol, family history of cerebral infarction, cerebral infarction, hypertension, systolic pressure, diastolic pressure, diabetes and heart disease, fasting blood glucose level, hyperlipoidemi, hyperhocysteinemia, duration of TIA>30 min, frequent attacks>3 times, carotid atheroscalerotic plaques, intracal angiostenosis of two groups were an-alyzed. The progressing to cerebral infarction of the different ABCD2 scores in 30 days were observed. Results The his tory of hypertension, history of diabetes, duration of TIA>30 min were more in CIP group than in non-CIP group(P<0.05). Fasting blood glucose level were more in CIP group than in non-CIP group (P<0.05). The scores of ABCD2 was high, the possibility of progression to cerebral infarction was increased (P<0.05). Conclusion History of hypertension, diabetes, level of fasting blood glucose, duration of TIA>30 min and the ABCD2 scale are related factors for CIP.
