脑梗死部位与进展性脑卒中发生的关系.pdf

论著·临床论坛 CHINESECOMMUNITY DOCTORS 脑梗死部位与进展性脑卒中发生的关系 王凌宇 102401首都医科大学附属良乡教学医院神经内科 doi:10.3969/j.issn.1007-614x.2017.10.11 摘 要 目的：探讨脑梗死部位与进展性脑卒中发生的关系。方法：收治脑梗死患者100例，分为观察组(进展期)和 对照组(非进展期)，研究脑梗死部位和进展性脑卒中发生的关系。结果：观察组中，侧脑室体旁梗死发病率最高，分 水岭梗死的发病率也相当高，与其他脑梗死部位发病率差异有统计学意义(P＜0.05)；观察组中，高血糖、甘油三酯水 平过高及胆固醇过高患者的脑卒中发生率明显高于对照组。结论：高血糖、高胆固醇及甘油三酯水平过高容易发生 脑卒中。分水岭梗死以及侧脑室体旁梗死容易出现病情进展。 关键词 脑梗死部位；进展性脑卒中；关系 Therelationshipbetweenlocationofcerebralinfarctionandprogressivestroke WangLingyu InternalMedicine-Neurology,LiangxiangTeachingHospitalAffiliatedtoCapitalMedicalUniversity 102401 Abstract Objective:Toexploretherelationshipbetweenlocationofcerebralinfarctionandprogressivestroke.Methods:100 patientswithcerebralinfarctionwereselected.Theyweredividedintotheobservationgroup(advancedstage)andthecontrol group(nonadvancedstage).Weexploredtherelationshipbetweenlocationofcerebralinfarctionandprogressivestroke.Results:In theobservationgroup,theincidenceoflateralperiventricularinfarctionwasthehighest,andtheincidenceofcerebralwatershed infarctionwasquitehigh,andtherewassignificantdifferencewiththeincidenceofothercerebralinfarctions(P＜0.05).Inthe observation group,the incidence of stroke of patients with high blood sugar,high triglycerides and high cholesterol was significantlyhigherthanthatofthecontrolgroup.Conclusion:Thepatientswithhighbloodsugar,hightriglyceridesandhigh cholesterol were prone to stroke.Cerebral watershed infarction and lateral periventricular infarction were prone to disease progression. Keywords Locationofcerebralinfarction;Progressivestroke;Relationship 进展性缺血性脑卒中通常情况下是 组男20例，女30例，年龄63～72岁， 采用t检验，计数资料使用(%)表示，采 指在发生缺血性脑卒中以后，神经功能 平均(66.1±2.5)岁。两组在性别、年龄等 用χ检验，P＜0.05为差异有统计学意义。2 缺失程度出现加重的情况，或者在治疗 方面差异无统计学意义(P＞0.05)。 以后，病情依旧出现进一步的恶化，这