急性脑梗死患者中脑微出血的危险因素研究

目的 根据急性脑梗死患者中脑微出血的一般情况,分析其出血的相关因素,为临床治疗脑梗死、防止脑出血发生提供依据.方法 对2011年1月至2013年6月来我院治疗的78例脑梗死的患者进行SWI检测,观察其微出血情况,根据有无脑微出血而分为微出血组和无出血组,对比两组患者的年龄、高血脂、脑梗死、高血压、糖尿病、脑白质疏松症及抗血小板药物使用等情况.结果 微出血组患者的年龄低于无出血组,微出血组患者的高血压、腔隙性脑梗死及脑白质疏松症的人数较无出血组比例高,均具有统计学意义（P＜0.05）.结论 急性期脑梗死脑微出血的相关因素包括年龄、高血压、腔隙性脑梗死及脑白质疏松症等情况,临床治疗急性期脑梗死患者时要注意以上危险因素,防止脑出血的发生.

Study on risk factors of midbrain micro bleeding in patients with acute cerebral infarction

Objective According to the acute cerebral infarction patients with midbrain micro bleeding general situation to analyze the related factors of bleeding for clinical treatment of cerebral infarction, which provides the basis for prevention of Cerebral hemorrhage. Methods 78 cases of patients came from hospital of cerebral infarction who were treated by SWI detection in January 2011-June 2013 for observing micro bleeding, according to the presence of cerebral hemorrhage and divided into micro bleeding group and no hemorrhage group, compared two groups of patient~ age, hypertension, diabetes, hyperlipidemia, cerebral infarction, cerebral white matter osteoporosis and antiplatelet drug using and so on. Results Micro hemorrhage group of patients younger than no hemorrhage group, and high blood pressure, osteoporosis lacunar cerebral infarction and cerebral white matter in the number of high proportion less hemorrhage group, the difference was statistically significant （P 〈 0. 05）. Conclusions The midbrain micro bleeding in patients with acute cerebral infarction including age, hypertension, osteoporosis lacunar cerebral infarction and cerebral white matter, etc. , the clinical treatment of acute cerebral infarction patients should pay attention to the above risk factors, prevent the occurrence of cerebral hemorrhage.