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目的探讨脑梗塞的主要危险因素及神经内科预防措施。方法收集我院住院的208例脑梗塞患者病例相关资料,与对照组进行比较。结果合并高血压者达73.1%,合并糖尿病者达32.7%,而合并糖代谢异常者达到63.5%;吸烟率脑梗塞组明显高于对照组(P<0.05);脑梗塞组与对照组间收缩压、舒张压、总胆固醇、餐后2小时血糖、糖化血红蛋白、体重指数、血尿酸及C反应蛋白水平差异有统计学意义(P<0.05)。结论吸烟、高血压、高胆固醇血症、餐后高血糖、高糖化血红蛋白及体重指数增高是脑梗塞的主要危险因素;血尿酸及C反应蛋白水平可能为其强的预测指标。
Objective To explore the main risk factors of cerebral infarction and the preventive measures of neurology. Methods The data of 208 cases of cerebral infarction hospitalized in our hospital were collected and compared with the control group. Results 73.1% of patients with hypertension and 32.7% of patients with diabetes mellitus, 63.5% of those with abnormal glucose metabolism; smoking rate of cerebral infarction group was significantly higher than that of control group (P <0.05); Contraction between cerebral infarction group and control group Pressure, diastolic blood pressure, total cholesterol, postprandial blood glucose 2 h, HbA1c, body mass index, serum uric acid and C-reactive protein levels were significantly different (P <0.05). Conclusions Smoking, hypertension, hypercholesterolemia, postprandial hyperglycemia, hyperglycosylated hemoglobin and high body mass index are the main risk factors of cerebral infarction. Serum uric acid and C-reactive protein levels may be their strong predictors.