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目的为提高脑梗死患者生存质量，降低脑梗死再发率和病死率，对再发脑梗死和初发脑梗死住院患者进行临床分析。方法采用成组对照分析的方法，观察了６６例再发和６６例初发病人的相关危险因素、部分临床指标、并发症及预后。结果吸烟、高龄（≥６５岁）、高血压、高血糖和血ＨＤＬ降低是导致脑梗死再发的高危险因素（Ｐ＜０．０５、０．０１、０．００１）；与初发脑梗死相比，再发脑梗死患者明显存在低血钾、心电图和肝肾功异常（Ｐ＜０．００１），并发症的发病率和病死率升高（Ｐ＜０．０１）。结论避免和控制高危险因素，提高综合防治水平，是降低脑梗死再发率和病死率的关键。
Objective To improve the quality of life of patients with cerebral infarction, reduce the recurrence rate and mortality of cerebral infarction, recurrent cerebral infarction and primary hospitalized patients with cerebral infarction clinical analysis. Methods Using the method of group comparison analysis, the related risk factors, partial clinical indexes, complications and prognosis of 66 cases of recurrent and 66 cases of primary disease were observed. Results Smoking, elderly (≥65 years), hypertension, hyperglycemia and HDL decreased were the high risk factors of recurrent cerebral infarction (P <0.05, 0.01, 0.001) In contrast, patients with recurrent cerebral infarction had hypokalemia, electrocardiogram, and abnormal liver and kidney function (P <0.001), and increased morbidity and mortality (P <0.01). Conclusion Avoiding and controlling high risk factors and increasing the level of comprehensive prevention and treatment are the keys to reduce the recurrence rate and mortality of cerebral infarction.