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[目的]探讨复发性脑梗死的危险因素及临床特点分析。[方法]选择某院2005年2月～2010年6月期间收治的复发性脑梗死患者86例作为研究组,另选取同期入院治疗的初发性脑梗死患者86例作为对照组。两组患者的年龄、性别、既往病史、并发症、各种危险因素、入院及出院时神经功能缺损评分等相关数据进行统计分析。[结果]与对照组相比,研究组患者不良嗜好为饮酒、伴发为糖尿病、房颤以及家族史有高血压、卒中的比率均较高,差异均有统计学意义(P﹤0.05);研究组患者的死亡率显著提高,高达19.77%,差异有统计学意义(P﹤0.05);研究组患者并发心肌损害的比率显著增高,高达73.26%,差异有统计学意义(P﹤0.05)。[结论]只有充分重视引起复发性脑梗死的危险因素和临床特点,并据此采取积极的防治措施才能有效减少复发性脑梗死的发生。
[Objective] To explore the risk factors and clinical features of recurrent cerebral infarction. [Methods] A total of 86 patients with recurrent cerebral infarction who were treated in a hospital from February 2005 to June 2010 were selected as the study group. Another 86 patients with primary cerebral infarction who were hospitalized during the same period were selected as the control group. Two groups of patients were analyzed by age, gender, past medical history, complications, various risk factors, neurological impairment scores at admission and discharge. [Results] Compared with the control group, the bad habits of the study group were alcohol consumption, diabetes mellitus, atrial fibrillation and family history of hypertension and stroke. The differences were statistically significant (P <0.05). The death rate of the study group was significantly increased, up to 19.77%, the difference was statistically significant (P <0.05). The incidence of myocardial damage in the study group was significantly higher (up to 73.26%, P <0.05). [Conclusion] Only by paying full attention to the risk factors and clinical features of recurrent cerebral infarction, taking active prevention measures can effectively reduce the incidence of recurrent cerebral infarction.