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目的比较进展性脑梗死、完全性脑梗死的相关影响因素,为临床治疗提供依据。方法选取脑梗死患者108例作为研究对象,将其中进展性脑梗死患者54例作为研究组,完全性脑梗死患者54例作为对照组。比较2组患者年龄、病史等基本资料,检测患者血糖、血脂、平均动脉压、白细胞计数水平,分析2组患者的相关危险因素。结果 2组患者年龄、冠心病史、饮酒史及吸烟史比较差异无统计学意义(P>0.05);研究组患者平均动脉压低于对照组,有高血压史、糖尿病史、颈动脉狭窄及颅内动脉狭窄患者比例均高于对照组,血糖、低密度脂蛋白胆固醇、白细胞计数等指标均高于对照组,差异均有统计学意义(P<0.05);研究组分水岭梗死、头颅CT早期低密度改变、完全性前循环梗死、大脑中动脉高密度征发生率均高于对照组,差异均有统计学意义(P<0.05)。结论高血压、糖尿病史、颈动脉狭窄、侧支循环差等是造成进展性脑梗死主要影响因素,分水岭梗死、头颅CT早期低密度改变、完全性前循环梗死、大脑中动脉高密度征可预测早期进展性脑梗死。
Objective To compare the influencing factors of progressive cerebral infarction and complete cerebral infarction and provide the basis for clinical treatment. Methods A total of 108 patients with cerebral infarction were selected as the study subjects, including 54 patients with progressive cerebral infarction as study group and 54 patients with complete cerebral infarction as control group. The basic data such as age and medical history of the two groups were compared. The blood glucose, blood lipid, mean arterial pressure and white blood cell count were measured. The related risk factors were analyzed. Results There was no significant difference in age, coronary heart disease history, drinking history and smoking history between the two groups (P> 0.05). The mean arterial pressure in the study group was lower than that in the control group, with history of hypertension, history of diabetes, carotid stenosis and cranial The proportion of patients with internalized artery stenosis was higher than that of the control group. The indexes of blood glucose, low density lipoprotein cholesterol and white blood cell count were all higher than those of the control group (P <0.05). The watershed infarction, early CT Density changes, complete anterior circulation infarction, high incidence of middle cerebral artery syndrome were higher than the control group, the difference was statistically significant (P <0.05). Conclusions Hypertension, history of diabetes mellitus, carotid artery stenosis and poor collateral circulation are the main influencing factors of progressive cerebral infarction. Watershed infarction, early low-density cranial CT, complete anterior circulation infarction and high-density middle cerebral artery can be predicted Early progressive cerebral infarction.