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目的探讨脑梗死再发相关危险因素。方法对95例再发脑梗死和288例首发脑梗死患者的临床伴发疾病、血脂、血糖、纤维蛋白原、颈动脉彩色超声和经颅多普勒超声诊断仪(TCD)的检测结果进行综合分析。结果再发脑梗死组患者伴发高血压、糖尿病以及血清胆固醇、低密度脂蛋白值明显高于首发脑梗死组,再发组颅内动脉狭窄及颅外颈动脉粥样硬化检出率明显高于首发组。结论脑梗死再发与高血压、糖尿病、血脂代谢异常、颈动脉粥样硬化有关。
Objective To explore the risk factors associated with recurrent cerebral infarction. Methods The clinical data of 95 patients with recurrent cerebral infarction and 288 patients with primary cerebral infarction were analyzed. The results of the combined tests of blood lipids, blood glucose, fibrinogen, carotid color ultrasound and transcranial Doppler echocardiography (TCD) analysis. Results The recurrent cerebral infarction patients with hypertension, diabetes mellitus and serum cholesterol, low density lipoprotein values were significantly higher than the first cerebral infarction group, recurrent group of intracranial arterial stenosis and extracranial carotid atherosclerosis detection rate was significantly higher In the starting group. Conclusion Recurrence of cerebral infarction is associated with hypertension, diabetes mellitus, abnormal lipid metabolism and carotid atherosclerosis.