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目的探讨导致进展性缺血性脑卒中的相关因素。方法回顾性分析我院2011年1月至2012年6月诊治的进展性缺血性脑卒中34例患者的临床资料。结果两组患者入院48h以内的体温、血压、胆固醇、低密度脂蛋白、血糖、纤维蛋白原,以及治疗3d和一周后神经功能缺损评分进行比较,两组存在明显差异,具有统计学意义。结论进展性缺血性脑卒中的主要危险因素在于高血压、高血糖、高血脂和高纤维蛋白原,入院后及早重视危险因素,尽早预防发生的可能性,积极恰当的处理,有效改善其预后。
Objective To explore the related factors leading to progressive ischemic stroke. Methods The clinical data of 34 patients with progressive ischemic stroke treated in our hospital from January 2011 to June 2012 were retrospectively analyzed. Results The body temperature, blood pressure, cholesterol, low density lipoprotein, blood glucose, fibrinogen within 48 hours after admission and the score of neurological deficit after 3 days and one week after treatment were significantly different between the two groups, with statistical significance. Conclusions The main risk factors of progressive ischemic stroke are hypertension, hyperglycemia, hyperlipidemia and hyperfibrinogen. Risk factors should be emphasized as soon as possible after admission, and the possibility of occurrence should be prevented as soon as possible. The treatment should be actively and properly treated to effectively improve the prognosis .