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目的:对比分析进展性脑梗塞和稳定性脑梗塞的差别。方法:选取自2012年4月-2014年4月在我院接受治疗的30例进展性脑梗塞患者作为观察组,选择同时期的30例稳定性脑梗塞患者作为对照组,对两组患者血管狭窄、高血压病、糖尿病、高血脂、高纤维蛋白原血症、感染、发热等因素采用logist回归分析,将两组患者的临床资料进行对比。结果:观察组患者第三周血管狭窄、高血压病、糖尿病、高血脂、高纤维蛋白原血症例数明显高于对照组,组间差异具有统计学意义(P均<0.05);观察组患者三周内血管狭窄、高血压病、糖尿病、高血脂、高纤维蛋白原、感染和发热提示为发病的危险因素。结论:进展性脑梗塞与稳定性脑梗塞不同,发病机理由多种因素共同影响,必须针对不同的发病机制对症治疗。
Objective: To compare and analyze the difference between progressive cerebral infarction and stable cerebral infarction. Methods: Thirty patients with progressive cerebral infarction who were treated in our hospital from April 2012 to April 2014 were selected as the observation group. Thirty patients with stable cerebral infarction in the same period were selected as the control group. Two groups of patients Vascular disease, hypertension, diabetes, hyperlipidemia, hyperfibrinogenemia, infection, fever and other factors using logistic regression analysis, the clinical data of two groups of patients were compared. Results: The number of vascular stenosis, hypertension, diabetes, hyperlipidemia and hyperfibrinogenemia in the third week of the observation group was significantly higher than that of the control group, with significant difference between the two groups (P <0.05) Patients within three weeks of vascular stenosis, hypertension, diabetes, hyperlipidemia, high fibrinogen, infection and fever prompted the risk factors. Conclusion: Progressive cerebral infarction is different from stable cerebral infarction. Its pathogenesis is influenced by many factors and must be treated symptomatically according to different pathogenesis.