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目的 探讨缺血性脑卒中患者早期复发的临床特点和危险因素。方法 对 5 94例缺血性脑卒中在 30天内复发的 2 2例患者进行了临床分析和病例 对照研究。结果 早期复发率为 3.7% (2 2 / 5 94) ,其中脑血栓复发率为 3.3% (18/ 5 5 2 ) ,脑栓塞复发率为 9.5 % (4 / 42 )。72 .73% (16 / 2 2 )复发在原患侧 ,多为同类型脑卒中复发 (86 .36 % ,19/ 2 2 )。经统计学分析发现高血压、TIA史与复发有显著关系 (OR =4.9,OR =7.1) ,而缺血性心脏病、糖尿病、入院时高血糖、房颤、高血脂、吸烟、颈部血管斑块与复发无显著关系。结论 缺血性脑卒中早期复发多为同类型脑卒中、同部位的复发 ,高血压、TIA史可能为脑卒中早期复发的重要危险因素。
Objective To investigate the clinical characteristics and risk factors of early recurrence in ischemic stroke patients. Methods Clinical analysis and case-control study of 22 patients with 5 94 ischemic stroke relapse within 30 days were performed. Results The early recurrence rate was 3.7% (2/5/94). The recurrence rate of cerebral thrombosis was 3.3% (18/552) and the recurrence rate of cerebral embolism was 9.5% (4/42). 72.73% (16/2 2) recurrence in the original ipsilateral, mostly the same type of recurrent stroke (86.36%, 19/2 2). According to statistical analysis, there was a significant relationship between history of hypertension and recurrence of hypertension (OR = 4.9, OR = 7.1), while ischemic heart disease, diabetes mellitus, hyperglycemia on admission, atrial fibrillation, hyperlipidemia, smoking, No significant correlation between plaque and recurrence. Conclusions The early recurrence of ischemic stroke is mostly the same type of stroke. The recurrence of the same site, hypertension and TIA may be the important risk factors for the early recurrence of stroke.