短暂性脑缺血发作进展为脑梗死相关因素的临床分析.pdfVIP

National Medical Frontiers of China, May. 2013, Vol.8 No.10 中国医疗前沿 2013年5月 第8卷 第10期 临床研究  短暂性脑缺血发作进展为脑梗死相关因素的临床分析 郎凤东 任芳 【摘要】 目的 探讨短暂性脑缺血发作(TIA)进展为脑梗死的相关因素。方法 回顾性分析我院2010年3月-2013年1月收治 的143例TIA患者的临床资料。 结果 性别、冠心病、烟酒史、高血脂等因素与TIA进展为脑梗死并无显著性关联(P 0.05)；高 龄、糖尿病、高血压及脑动脉狭窄等有显著性关联(P 0.05)；发作频率在3次/d以上、有严重神经功能缺损、发作时间持续高 于30min的患者，其TIA进展为脑梗死显著性增高(P 0.05)。结论 TIA进展为脑梗死是由多种因素共同作用的结果，尤其与 病患年龄较高，患有糖尿病、高血压、脑动脉狭窄及发作频率过高等有关，值得临床重点关注。 【关键词】 短暂性脑缺血；进展；脑梗死；相关因素；临床分析 doi：10.3969/j.issn.1673-5552.2013.10.0051 【中图分类号】R743.3 【文献标识码】B 【文章编号】1673-5552(2013)10-0069-01 Transient ischemic attack clinical analysis of correlative factors of cerebral infarction LANG Feng-Dong, REN Fang. The Hospital of Kenli City, Dongying 257500, China 【Abstract】Objective To investigate the effect of transient ischemic attack(TIA) the factors responsible for the development of cerebral infarction. Methods 143 patients with transient cerebral ischemia in our hospital from 2010 March-2013 year in January the attack patients as the object of study, retrospective analysis of the clinical data of their. Results By analyzing the clinical data of 143 cases of patients in the analysis, patient gender, history of coronary heart disease, alcohol and tobacco, hyperlipemia and transient ischemic attack of cerebral infarction and no significant association(P 0.05)； patients age, diabetes, hypertension and cerebral artery stenosis in patients with transient cerebral ischemia cerebral infarction has a significant association( 0.05)； in addition, the patients clinical P data analysis also found that, for the seizure frequency in more than three times a day, with severe neurological deficit, seizure duration were significantly higher than those of 30 minutes of the transient ischemic attack of cerebral infarction increased significantly( 0.05). Conclu