发热及感染与进展性缺血性脑卒中相关性的单因素分层研究

目的通过对进展性与非进展性缺血性脑卒中患者入院后发热及感染情况的分层对比研究,为进展性缺血性脑卒中的预测提供科学的依据。方法将入组的急性脑梗死患者按入院后病情变化分为进展组和非进展组,再按体温及感染情况分为若干组,并对结果进行统计学分析(χ2检验)。结果高热(T≥39.0℃)组与中低热(37.0℃≤T<39.0℃)组比较,差异显著,且SIP发病率,前者明显高于后者;有无发热组比较、肺部感染组与无感染组比较、肺部感染组与非肺部感染组比较、感染组与无感染组比较,均得出上述相同的结果。结论高热(T≥39.0℃)、肺部感染可作为进展性卒中的预测指标。

Monofactorial straticulate study on correlation between fever or infection and progressive ischemic stroke

Objective To provide a scientific basis to prediction of progressive ischemic stroke through straticulate contrastive study on fever and infection of patients with progressive or non-progressive ischemic stroke.Methods The admitted patients with acute cerebral infarction were devided into two groups,SIP(stroke in progression) group and non-SIP group by changes of disease conditions after the onset,and then were divided further into several subgroups according to body temperature and infection.The results were statistically analyzed(χ2 test).Results There was a significant difference between group with high fever(T≥ 39.0℃) and with moderate fever(37.0℃ ≤T<39.0℃),and for SIP incidence rate,the former was significantly higher than the latter.There were similar differences between group with fever and with normal body temperature,between group with pulmonary infection and with non-infection,between group with pulmonary infection and with non-pulmonary infection,and between group with infection and without infection.Conclusion High fever(T≥39.0℃) and pulmonary infection could be prediction indexes of progressive ischemic stroke.