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目的探讨影响进展性脑梗死的相关危险因素。方法回顾性总结2008年3月至2011年3月本院收治的48h内进展性脑梗死患者36例,随机抽取诊断明确的非进展性性脑梗死42例,观察项目包括体温、血压,采血检测白细胞、血糖、胆固醇、甘油三酯、颈动脉是否狭窄,颈动脉斑块程度。然后进行统计学分析。结果进展性脑梗死组中合并发热、白细胞增高、颈内动脉狭窄、颈动脉斑块例数显著增多,与对照组比较差异具有统计学意义(P<0.05)。空腹血糖、胆固醇、甘油三酯及收缩压变化与对照组比较差异有统计学意义(P<0.05)。两组舒张压比较,差异无统计学意义(P>0.05)。结论脑梗死患者出现发热、白细胞增高,空腹血糖、胆固醇、甘油三酯升高,颈动脉狭窄和斑块形成,是进展性脑梗死的相关因素。
Objective To explore the related risk factors affecting progressive cerebral infarction. Methods From March 2008 to March 2011, 36 patients with progressive cerebral infarction within 48 hours admitted to our hospital were retrospectively reviewed. Twenty-two non-progressing cerebral infarctions with definite diagnosis were randomly selected. The observation items included body temperature, blood pressure, blood sampling White blood cells, blood sugar, cholesterol, triglycerides, carotid artery stenosis, degree of carotid plaque. Then a statistical analysis. Results The patients with progressive cerebral infarction had fever, leukocytosis, carotid artery stenosis and carotid artery plaque. The difference between the two groups was statistically significant (P <0.05). Fasting blood glucose, cholesterol, triglyceride and systolic blood pressure changes compared with the control group, the difference was statistically significant (P <0.05). There was no significant difference in diastolic blood pressure between the two groups (P> 0.05). Conclusion In patients with cerebral infarction, fever, leukocytosis, fasting blood glucose, cholesterol, elevated triglycerides, carotid stenosis and plaque formation are the related factors of progressive cerebral infarction.