脑梗死复发的相关因素的临床分析

目的探讨脑梗死复发的临床特点。方法对68例复发脑梗死及68例未复发性脑梗死采用回顾性方法，进行病例对照研究，结合文献对复发因素进行分析。结果在68例复发性脑梗死中有高血脂史18例（26.7％），高血压史49例（72．1％），糖尿病史17例（25％），高血压伴糖尿病史10例（14.7％），高血压伴冠心病史17例（25％），与未复发脑梗死相比，差异具有统计学意义（P〈0．05）。结论高血压、糖尿病、高脂血症等是脑梗死的复发的相关危险因素。

Clinical Analysis on Factors Related to Recurrent Cerebral Infarction

Objective To investigate the clinical features of recurrent cerebral infarction（CI）. Methods The clinical data of 68 cases with recurrent CI and 68 cases with incipient CI were analyzed retrospectively. The factors related to the recurrence of CI were studied combined with literature. Results In 68 cases with recurrent CI, hyperlipidemia accounted for.36.7% （ 18/68）, hypertension for 72.1% （49/68） , diabetes for 25% （17/68） , hypertension with diabetes for 14.7% （10/68） , hypertension with coronary heart disease for 25% （ 17/68 ）. There was statistic difference between the two groups. Conclusions Hypertension, diabetes and hyperlipidemia were the factors related to the recurrent CI and other risk factors are associated with recurrent cerebral infarction.