进展性脑梗死的相关危险因素临床分析

目的探讨进展性脑梗死的危险因素。方法分析了40例进展性脑梗死患者的血压、体温、白细胞计数、血糖、血脂、纤维蛋白原、尿酸、C-反应蛋白、颈部血管B超检查结果,并与40例完全型梗死患者的临床资料作对照,进行统计学分析。结果进展性脑梗死组存在感染、收缩压偏低、糖尿病、高血糖、高血脂、高纤维蛋白原、颈部血管狭窄明显、不稳定斑块出现率高与对照组比较,差异有统计学意义（P〈0.05）。结论感染、血糖升高、急性期收缩压降低、高脂血症、高纤维蛋白原血症及颈部血管狭窄、不稳定斑块形成与进展性脑梗死关系密切,应作为危险因素。

Analysis of the risk factors of progressive cerebral infarction

Objective To evaluate the risk factors of progressive cerebral infarction.Methods The blood pressure,body temperature,white blood cell count,blood glucose,blood lipids,fibrinogen uric acid,C-reactive protein and neck vascular ultrasound results of 40 patients with progressive cerebral infarction were analyzed,and were compared with clinical datas of 40 patients with complete cerebral infarction and analyzed statistically.Results Progressive cerebral infarction group had infection,low systolic blood pressure,diabetes,high blood glucose,hyperlipidemia,high fibrinogen,and intracranial and extracranial large artery stenosis,and showed a significant difference(P<0.05).Conclusion Infections,hyperglycemia,systolic blood pressure of acute stage decreased,hyperlipidemia,hyperfibrinogenemia and intracranial and extracranial large artery stenosis are closely related to progressive cerebral infarction,and should serve as risk factors.