初发和再发脑梗死相关影响因素比较分析

目的探讨60岁以上缺血性再发脑梗死患者危险因素。方法采用平行对照的方法,将发生脑梗死患者分为脑梗死再发组和非再发组,观察研究两组患者一般情况、合并疾病与颈动脉斑块变化特点。结果两组患者在体质量、饮酒方面无明显差异,脑梗死再发组患者血压、血糖、血脂等方面明显高于非再发组患者（P〈0.05）,颈动脉内膜中层厚度（IMT）、斑块发生率等高于对照组（P〈0.05）。结论老年人缺血性脑梗死再发与颈动脉斑块关系密切。积极降压、调脂、降糖治疗,稳定颈动脉斑块在缺血性脑梗死二级预防中有重要意义。

Comparative analysis on related influence factors of primary and recurrent cerebral infarction

Objective To study the risk factor in over 60 years old patients with recurrent cerebral infarction.Methods According to randomized,parallel-controlled method,patients were divided into cerebral infarction recurrence group and non-recurrence group.The general condition,combined changes and carotid artery plaque characteristics were observed in patients.Results There were no significant differences between the two groups in body weight and drinking alcohol,but patients’blood pressure,blood glucose and blood lipids in the cerebral infarction recurrence group were higher than that in non-recurrence group（P〈0.05）.The carotid artery intima-media thickness（IMT） and the incidence of plaque in the cerebral infarction recurrence group was higher than that in non-recurrence group（P〈0.05）.Conclusion Carotid artery plaque has close relations with old patients with recurrent cerebral infarction.It was important in secondary prevention of ischemic cerebral infarction to control blood pressure,degrade lipids,control blood glucose and stabilize plaque.