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目的探讨不同部位脑梗死与进展性脑梗死发生的相关性。方法 126例脑梗死患者为研究对象,根据患者病情分为A组(进展性脑梗死,35例)和B组(非进展性脑梗死,91例),分析两组患者不同梗死灶分布情况及不同梗死病灶与进展性脑梗死发生的相关性。结果 A组患者皮质梗死灶所占比例65.71%显著高于B组18.68%,基底节梗死灶所占比例11.43%显著低于B组40.66%,差异均有统计学意义(P<0.05)。两组放射冠及后循环所占比例比较差异均无统计学意义(P>0.05)。线性相关分析得出,皮质梗死灶与进展性脑梗死发生呈正相关(P<0.05),基底节、后循环梗死灶与进展性脑梗死发生呈负相关(P<0.05),放射冠梗死灶与进展性脑梗死发生无相关性(P>0.05)。结论皮质部位脑梗死患者易发生进展性脑梗死,皮质、基底节、后循环梗死灶与进展性脑梗死的发生密切相关。
Objective To investigate the correlation between different regions of cerebral infarction and progressive cerebral infarction. Methods One hundred and sixty-six patients with cerebral infarction were divided into group A (progressive cerebral infarction, 35 cases) and group B (non-progressing cerebral infarction, 91 cases). The distribution of different infarcts in the two groups were analyzed. Correlation between different infarct lesions and progressive cerebral infarction. Results The percentage of cortical infarction in group A was significantly higher than that in group B (65.71%, 18.68%, 11.43%, 40.66%, respectively) (P <0.05). There was no significant difference between the two groups (P> 0.05). Linear correlation analysis showed that there was a positive correlation between cortical infarction and progressive cerebral infarction (P <0.05), basal ganglia, posterior circulation infarction and progressive cerebral infarction were negatively correlated (P <0.05) There was no correlation between progressive cerebral infarction (P> 0.05). Conclusion Cortical cerebral infarction patients prone to progressive cerebral infarction, cortical, basal ganglia, posterior circulation infarction and progressive cerebral infarction are closely related.