老年人无症状脑卒中例临床分析.docVIP

word格式论文老年人无症状脑卒中60例临床分析 【关键词】 老年人 　　摘要：目的：探讨老年人无症状脑卒中高危因素、病因、临床特点及其发病 规律 。 方法 ：回顾性 分析 60例60～89岁的老年人患者的临床资料。分梗死和出血两型，逐次分析脑卒中的危险因素，临床特点及发病规律。结果：60例患者中脑梗死56例，脑出血4例，梗死型和出血型的病因均以高血压、高血糖、高血液粘稠度、高龄、高血脂症为最多，其它病因包括吸烟、酗酒、心房纤颤等。结论：高血压、高血糖是老年无症状脑卒中的主要原因，对老年人无症状脑卒中积极有效地进行其危险因素如：高血压、高血糖、高血脂症、吸烟、酗酒、心房纤颤等的干预，可以最大程度预防无症状性脑卒中，提高生活质量和健康水平。 　　关键词: 脑卒中: 老年人 　　Clinical Analysis of 60 cases Silent Stroke in old People 　　　Abstract: Objective： To discuss the high risky factors, causes of disease, clinical characteristics and pathogenesis regular rules for silent stroke of the old people. Method： Retrospectively analyzed clinical materials of 60 patients between 60 to 89 years old. Classified the patients into infarction and hemorrhage types and successively analyzed the risky factors, clinical characteristics and pathogenesis regular rules. Result： Among the 60 patients, 56 patients are cerebral infarction and 4 patients are cerebral hemorrhage. High blood pressure, hyperglycemia, high blood viscosity, venerable age and high blood lipid are the most causes for cerebral infarction and cerebral hemorrhage. Still there are other causes, including smoking, excessive drinking and auricular fibrillation etc. Conclusion： High blood pressure and hyperglycemia are the main causes for the silent stroke of old people. Actively and effectively intervening the risky factors for silent stoke of the old people, such as high blood pressure, hyperglycemia, high blood lipid, smoking, excessive drinking, auricular fibrillation etc., could prevent the silent stroke at the maximum extent and improve the life quality and health level. 　　Key words：Silent stroke； The old people 　　无症状脑卒中(Silent stroke SS)又称静止性脑卒中，是指无临床症状或临床症状轻微，不足以引起患者或医生的注意，或者是未被揭示的或未被认定的脑卒中，亦即无明确的卒中发作史，无明确的神经系统症状和体征，CT或MRI检查时发现责任病灶以外的病变，而又缺乏相应病史者，包括无症状脑梗死和无症状脑出血。现将我院1999年至XXXX年间，每一年离退休职工健康体检或门诊体检的60例老年人无症状脑卒中回顾性分析，以探讨其病因、临床特点和发病规律，寻找预防老年无症状脑卒中的方法。 　　1 材料与方法 　　1.1 一般资料：60例均选自1999年至XXXX年间每一年离退休职工健康体检