进展性缺血性卒中患者脑动脉硬化及其它危险因素的临床分析

目的：探讨进展性缺血性卒中的危险因素。方法：分析发病1周内入院治疗的86例进展性缺血性卒中患者入院时的血压、血糖、血常规、血脂、颅内外磁共振血管成像（MRA）、脑血管彩超（TCD）、颈部动脉彩超结果。有统计学意义的因素行Logistic多因素逐步回归分析。结果：入院时收缩压过高或过低、血糖高、白细胞计数、内中膜增厚、不稳定斑块检出率、动脉狭窄均为进展性卒中的独立危险因素。结论：在脑动脉狭窄的基础上，如果出现血压、血液流变学改变以及炎症反应，可能是脑梗死早期进展的原因。

A clinical analysis of cerebral arteriosclerosis and other risk factors in patients of progressive ischemic stroke

Objective： To investigate risk factors of progressive ischemic stroke. Methods： To analyze results of the blood pressure, blood glucose, blood routine test, blood lipids, Intracranial magnetic resonance angiography （MRA）, cerebral vascular color Doppler ultrasound （TCD）, and carotid artery ultrasonography of the 86 cases of progressive ischemic stroke patients admitted to hospital within a week. Logistic regression stepwise analysis were performed to examine statistically significant factors. Results： High or low admission systolic blood pressure, blood sugar high, white blood cell count, intima thickening, plaque instability detection rate, arterial stenosis progress are independent risk factors for progressive ischemic stroke. Conclusion： In the basis of cerebral artery stenosis, if there is blood pressure, change of blood rheology and inflammation may be the cause of progressing cerebral infarction.