进展性脑梗死危险因素临床分析

目的研究影响进展性脑梗死的相关危险因素。方法选择2002～2006年间在我科住院40例进展性脑梗死(SIP)及同期住院治疗的50例非进展性脑梗死(NSIP)患者,回顾性地分析比较两组血压、血脂、血纤维蛋白原、血清铁蛋白、发病当天随机血糖、超敏C反应蛋白、发热、颈动脉粥样硬化等相关危险因素与缺血性脑卒中进展的关系。结果SIP组与NSIP组在发病当天血糖、纤维蛋白原、血清铁蛋白、超敏C反应蛋白、颈动脉粥样硬化、发热及过早接受降压治疗等方面的差异有统计学意义。结论血糖、纤维蛋白原、血清铁蛋白、超敏C反应蛋白等项目的增高,颈动脉粥样硬化,发热及过早接受降压治疗均为进展性脑卒中的危险因素。

Analysis of risk factors in progressive stroke

Objective To explore lots of factors in progressive stroke. Methods A total of 90 patients with ischemic stroke were divideel into progressive ischemic stroke (SIP n=40) group and non-progressive ischemic stroke (NSIP n=50) group. Relevent factors of SIP, which included blood pressure, blood lipid level, fibrinogn, serum ferritin level, blood glucose, supersensitive C-reactive protein, fever, carotid aterosclerosis, as well as carotid artery arterioclerotic plaques, were analysed. Results There was a significant difference in the blood pressure, blood lipid level, fibrinogn, serum ferritin level, blood glucose, supersensitive C-reactive protein fever, carotid atherosclerosis between the SIP group and NSIP group. Conclusion Blood pressure, blood lipid level, fibrinogn, serum ferritin level, blood glucose, glucose, supersensitive C-reactive protein, fever, carotid atherosclerosis were closely related to SIP.