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目的研究缺血性进展性脑卒中的预测因素。方法脑梗死患者154例(A组),另选择60例无脑卒中病史的体检者为对照组,进行预测因素包括基础病,如糖尿病病史、高血压病病史、房颤史,动脉疾病,梗死部位,梗死体积,出血性转化,兴奋性中毒及炎性反应、急性C-反应蛋白及纤维蛋白原,发热及白细胞计数的分析。结果基础病如糖尿病病史、高血压病病史、房颤史,动脉疾病,梗死部位;梗死体积,出血性转化,兴奋性中毒及炎性反应、急性C-反应蛋白及纤维蛋白原,发热及白细胞计数的情况在A组和对照组之间比较差异均无统计学意义(P>0.05),具有可比性。结论只有对缺血性进展型脑卒中患者从预测因素出发,多方面进行治疗,如药物治疗、肢体康复、语言训练、心理康复、健康教育等,才能降低脑卒中患者的病死率和残疾率。
Objective To study the predictors of ischemic stroke. Methods A total of 154 patients with cerebral infarction (group A) and 60 patients without history of stroke were selected as the control group. The predictors included the underlying diseases such as diabetes mellitus history, history of hypertension, atrial fibrillation history, arterial disease, infarction Site, infarct volume, hemorrhagic transformation, excitotoxicity and inflammatory response, acute C-reactive protein and fibrinogen, fever and white blood cell count analysis. Results Basic diseases such as history of diabetes, history of hypertension, history of atrial fibrillation, arterial disease, infarct size; infarct volume, hemorrhagic transformation, excitotoxicity and inflammatory response, acute C-reactive protein and fibrinogen, fever and leukocyte There was no significant difference between group A and control (P> 0.05), which was comparable. CONCLUSIONS: Only in predicting the prognosis of ischemic stroke patients, various treatments such as drug therapy, physical rehabilitation, language training, psychological rehabilitation, health education and so on can reduce the mortality and disability rate of patients with stroke.