论文部分内容阅读
目的了解中青年进展性脑卒中患者的危险因素,为临床的早期诊断和治疗提供依据。方法收集2008~2015年来冠县人民医院诊疗的240例进展性脑卒中患者的临床资料,进行CISS分型,分析不同分型患者的危险因素。结果在240例进展性脑卒中患者中,大动脉粥样硬化型122例(50.83%)、心源性卒中型30例(12.50%)、穿支动脉疾病60例(25.00%)、其他病因型4例(1.67%)、病因不确定型24例(10.00%)。大动脉粥样硬化性脑卒中患者合并吸烟、饮酒、血脂异常的比例分别为47.57%、42.62%、65.57%,均明显高于其他各组(P<0.05、<0.01);高血压、糖尿病在各组间差异无统计学意义(P>0.05)。结论不同类型进展性缺血性脑卒中的危险因素不同,临床的预防与治疗措施应有针对性。
Objective To understand the risk factors of middle-aged and young patients with progressive stroke and provide the basis for early clinical diagnosis and treatment. Methods The clinical data of 240 patients with progressive stroke admitted to Guanxian People’s Hospital from 2008 to 2015 were collected. CISS was performed to analyze the risk factors of different types of patients. Results Of the 240 patients with progressive stroke, 122 (50.83%) had atherosclerosis, 30 (12.50%) had cardioembolic stroke, 60 (25.00%) had perforatorial artery disease and 4 Cases (1.67%), etiology of uncertainty in 24 cases (10.00%). The rates of smoking, alcohol consumption and dyslipidemia in patients with severe atherosclerotic stroke were 47.57%, 42.62% and 65.57%, respectively, which were significantly higher than those in other groups (P <0.05, <0.01). Hypertension and diabetes mellitus There was no significant difference between groups (P> 0.05). Conclusion The risk factors of different types of progressive ischemic stroke are different, and the clinical preventive and therapeutic measures should be targeted.