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目的探讨进展性缺血性脑卒中的临床特征。方法回顾分析61例患者的临床资料。结果治疗组30例中,基本治愈11例,显著进步12例,进步6例,无变化1例,总有效率96%;对照组31例中,基本治愈5例,显著进步7例,进步14例,无变化4例,恶化1例,总有效率84%;两组总有效率比较,差异有统计学意义(P<0.05)。结论高血压、高血糖、高血脂及高纤维蛋白原是进展性缺血性脑卒中的主要危险因素,因此对入院时存在体温、血压、血糖升高的高危患者应尽早重视,积极处理,以改善预后。
Objective To investigate the clinical features of progressive ischemic stroke. Methods The clinical data of 61 patients were retrospectively analyzed. Results Among the 30 cases in the treatment group, 11 cases were basically cured, 12 cases were significantly improved, 6 cases were improved, 1 case was unchanged and the total effective rate was 96%. Among the 31 cases in the control group, 5 cases were basically cured, 7 cases were significantly improved, and 14 cases were improved Cases, no change in 4 cases, 1 case of deterioration, the total efficiency of 84%; total effective rate of the two groups, the difference was statistically significant (P <0.05). Conclusions Hypertension, hyperglycemia, hyperlipidemia and hyperfibrinogen are the major risk factors for progressive ischemic stroke. Therefore, high-risk patients with elevated body temperature, blood pressure and blood glucose should pay attention as soon as possible to treatment Improve the prognosis.