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目的:探讨引起进展性脑梗死的相关因素及预防对策。方法:2005年1月～2012年6年收治60例进展性脑梗死患者作为观察组,按照1:1比例随机选择同期60例稳定型脑梗死患者作为对照组,分析两组患者的临床资料,比较入院血压、血糖、高血脂、发热、精神因素两组之间差异,然后进行统计学分析。结果:观察组血糖水平(8.80±1.28)mmol/L、高脂血症81.57%、发热48.33%、存在精神因素38.33%高于对照组的(7.11±1.02)mmol/L、58.33%、20.00%、23.33%;平均动脉压(109.45±14.60)mmHg低于对照组(109.45±14.60)mmHg(P<0.05),是导致进展性脑梗死相关因素。结论:引起进展性脑梗死的相关因素复杂多样,即有患者本身的因素,也有治疗中的因素,应实施针对性预防措施防止进展性脑梗死的发生。
Objective: To investigate the related factors and preventive strategies of progressive cerebral infarction. Methods: Sixty patients with progressive cerebral infarction from January 2005 to 2012 were selected as the observation group. Sixty stable patients with stable cerebral infarction were randomly selected as the control group according to the ratio of 1: 1. The clinical data of the two groups were analyzed. The differences of blood pressure, blood sugar, hyperlipidemia, fever and mental factors were compared between the two groups, and then statistical analysis was made. Results: The blood glucose level in the observation group was (8.80 ± 1.28) mmol / L, hyperlipidemia was 81.57%, fever was 48.33%, and the existence of mental factors was 38.33% higher than the control group (7.11 ± 1.02) mmol / L, 58.33% and 20.00% , 23.33% respectively. The mean arterial pressure (109.45 ± 14.60) mmHg was lower than that of the control group (109.45 ± 14.60) mmHg (P <0.05), which was the cause of progressive cerebral infarction. Conclusion: The related factors causing progressive cerebral infarction are complex and diverse, that is, there are patients’ own factors as well as the factors in treatment. Preventive measures should be implemented to prevent the progress of progressive cerebral infarction.