论文部分内容阅读
目的探讨分水岭脑梗死(CWI)早期病情进展的危险因素。方法采用回顾性分析方法,将2013年3月~2015年7月收治的96例分水岭脑梗死患者分为进展组(26例)及对照组(70例),采用logistic回归模型分析分水岭脑梗死早期病情进展的危险因素。结果进展组的既往脑卒中史、不稳定斑块、血管重度狭窄、血管闭塞、入院后快速降压、纤维蛋白原(FIB)和D-二聚体水平明显高于对照组(P均<0.05);多元logistic回归分析显示,不稳定斑块(P=0.045)、入院后快速降压(P=0.030)、FIB(P=0.003)和D-二聚体水平(P=0.012)是CWI早期病情进展的主要危险因素。结论不稳定斑块、入院后快速降压、FIB和D-二聚体水平是CWI早期病情进展的主要危险因素。
Objective To investigate the risk factors of early stage of disease in watershed cerebral infarction (CWI). Methods A retrospective analysis method was used to divide 96 patients with water-cut cerebral infarction from March 2013 to July 2015 into progressive group (26 patients) and control group (70 patients). Logistic regression analysis was used to analyze the early stage of watershed cerebral infarction Risk factors for the progression of the disease. Results The group had a history of prior stroke, unstable plaques, severe stenosis, vascular occlusion, rapid decompression after admission, fibrinogen (FIB) and D-dimer levels were significantly higher than those in the control group (all P <0.05 ); Multivariate logistic regression analysis showed that unstable plaques (P = 0.045), rapid decompression after admission (P = 0.030), FIB (P = 0.003) and D-dimer level The main risk factors of disease progression. Conclusions Unstable plaques, rapid decompression after admission, FIB and D-dimer levels are the major risk factors for the early progression of CWI.