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目的 探讨TIA短期内进展至脑梗死的相关因素。方法 回顾性分析 396例TIA患者 ,采用多元Logistic回归模型分析TIA短期内进展至脑梗死的相关因素。结果 发作次数在 3次以上、高血压病史、脑血管病家族史、发作持续时间超过 180分钟、高血糖是TIA短期内进展至脑梗死的危险因素 ;接受抗凝、抗血小板、降纤维蛋白原治疗及病史超过 30天 (对照组 7天以内 )者脑梗死危险性降低。结论 TIA反复发作、发作持续时间较长以及存在脑血管病危险因素的患者容易发生脑梗死 ,对TIA患者应该采取积极的抗血栓治疗。
Objective To explore the related factors of TIA to cerebral infarction in short term. Methods A retrospective analysis of 396 cases of TIA patients using multivariate Logistic regression model analysis of TIA short-term progression to cerebral infarction related factors. Results The number of episodes was more than 3 times. The history of hypertension, family history of cerebrovascular disease and the duration of the episode exceeded 180 minutes. Hyperglycemia was a risk factor for short-term progression to cerebral infarction in TIA. Patients receiving anticoagulant, antiplatelet and fibrinogen Treatment and history of more than 30 days (control group within 7 days) reduce the risk of cerebral infarction. Conclusions Patients with TIA recurrent episodes, long duration of attack, and risk factors of cerebrovascular disease are prone to cerebral infarction. TIA patients should take active antithrombotic therapy.