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目的对无症状性脑梗死的危险因素进行分析,并观察其预后。方法对体检中发现存在SCI人群与对照组比较,进行危险因素分析。将SCI人群分成两组并与对照组随访3年观察其预后。结果 SCI人群中高脂血症、高血压、糖尿病、动脉硬化、缺血性心脏病、血浆纤维蛋白原等均高于对照组。接受正规Ⅱ级预防组、非预防组、对照组3年死亡率无差异,发生症状性脑梗死和新发SCI有显著差异。结论影像发现存在SCI,均应查找其危险因素,并接受正规Ⅱ级预防,改善生活质量。
Objective To analyze the risk factors of asymptomatic cerebral infarction and observe its prognosis. Methods The SCI population and control group were found in physical examination, and risk factors were analyzed. The SCI population was divided into two groups and the control group were followed up for 3 years to observe the prognosis. Results The hyperlipidemia, hypertension, diabetes, arteriosclerosis, ischemic heart disease and plasma fibrinogen in SCI population were higher than those in control group. There was no difference in the 3-year mortality rate between the regular grade II prevention group, the non-prevention group and the control group. There was a significant difference between the onset of symptomatic cerebral infarction and the new-onset SCI. Conclusion The imaging findings of SCI should be found in the risk factors, and to accept the formal class Ⅱ prevention, improve quality of life.