缺血性脑卒中复发危险因素及干预的探讨

目的 进一步探讨缺血性脑卒中复发危险因素和干预措施。方法对525例缺血性脑卒中在院患者(复发组110例，对照组415例)的临床资料进行回顾性分析。结果发现在高血压、糖尿病、高血脂、冠心病、吸烟、饮酒及脑卒中家族史等危险因素方面。复发组与对照组比较无显著性差异。另发现在复发组中，合并高血压、高脂血症患者应降压调脂而未坚持降压、调脂或治疗不规则的患者；未或未坚持用抗血小板聚集药物治疗的患者；首次卒中后未或未坚持康复治疗者缺血性脑卒中复发所占百分率较高。结论充分认识和积极干预缺血性脑卒中复发的危险因素，对于预防复发十分重要。

Study on risk factors of recurrence of ischemic stroke and interfere

Objective To study the risk factors of recurrence of ischemic stroke and interfere methods.~Methods A retrospective investigation was conducted in 525 patients with ischemic stroke who were in-patients from Jan,2002 to Jul,2004.Results The study indicated that the risk factors(hypertension,diabetes,hyperlipenia,coronary heart disease,drinking,smoking and the family history of stroke)of recurrent group and control group were consistent(P>0.05),but in the recurrent group,the patients (with hypertension or hyperlipenia)who had not stuck to the treatment of hypertension or hyperlipenia, antipletelet aggregation and the restoration after the first stroke had higher rates.Conclusions To prevent the recurrence,it is very important to learn and interfere actively the risk factors of recurrence of ischemic stroke.