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目的分析研究急性脑卒中致脑心综合征的发生机制及防治措施。方法回顾性分析2011年4月至2012年4月在我院治疗的269例急性脑卒中患者的临床资料。结果全部患者中脑心综合征发病率为21.19%(57/269),出血性脑卒中发病率明显高于缺血性脑卒中(P<0.05);脑心综合征的心电图改变主要表现为ST-T改变、各种心律失常和心肌梗死。合并脑心综合征的脑卒中患者病死率明显高于同期未合并脑心综合征的脑卒中患者。结论急性脑卒中患者心脏事件发生率较高,在治疗过程中一定要注意心脑兼治,提高脑卒中的抢救存活率,改善生活质量。
Objective To analyze the mechanism and prevention and treatment of brain-heart syndrome caused by acute stroke. Methods The clinical data of 269 acute stroke patients treated in our hospital from April 2011 to April 2012 were retrospectively analyzed. Results The incidence of cerebro-cardiac syndrome in all patients was 21.19% (57/269), and the incidence of hemorrhagic stroke was significantly higher than that of ischemic stroke (P <0.05). The changes of electrocardiogram in brain-core syndrome were mainly ST -T changes, various arrhythmias and myocardial infarction. The mortality rate of stroke patients with brain-heart syndrome was significantly higher than that of stroke patients without brain-heart syndrome in the same period. Conclusion The incidence of cardiac events in patients with acute stroke is high. During the course of treatment, we must pay attention to the treatment of both the heart and brain and improve the survival rate after stroke and improve the quality of life.