代谢综合征与脑卒中预后临床观察.docVIP

代谢综合征与脑卒中预后的临床观察 　　[摘要] 目的 探讨代谢综合征与脑卒中预后关系。方法 选取我院2010年5月～2012年11月收治的脑卒中300例患者的临床资料作为研究对象，按照有无代谢综合征并发的情况分成A组（单纯组）和B组（并发症组）各150例。观察并分析两组患者经治疗后的临床效果。结果 A组生活质量明显优于B组，且A组出现动脉粥样硬化、脑出血、再次梗死、房室或室性心律失常和冠心病明显少于B组，差异有统计学意义（P 0.05）。结论 代谢综合征是脑卒中主要的危险因素，应该积极控制、加强预防，同时提高心脑血管疾病危害意识，防患于未然。 　　[关键词] 代谢综合征；脑卒中；预后 　　[中图分类号] R589；R743.3 [文献标识码] B [文章编号] 1673-9701（2013）07-0059-02 　　Clinical study on relationship between metabolic syndrome and prognosis of stroke 　　ZENG Shaojiao ZHOU Xuezhen ZHANG Zhenyu 　　Department of Neurology，Petrochemical Hospital of Maoming City in Guangdong Province，Maoming 525000，China [Abstract] Objective To investigate relationship between metabolic syndrome and prognosis of stroke. Methods The clinical data of three hundreds patients with stroke who were treated in our hospital from May 2010 to November 2012 were collected， they were divided into group A（n = 150）and group B（n=150） according to whether the metabolic syndrome complicated situation， patients in group A were stroke patients without metabolic syndrome， patients in group B were stroke patients with metabolic syndrome， then the clinical efficacy and safety were compared. Results After treatment，the quality of life in group A was better than that in group B （P 0.05）， the currence rate of atherosclerosis， cerebral hemorrhage， again infarction，atrioventricular or ventricular arrhythmia and coronary heart disease in group A was less than that in group B （P 0.05）. Conclusion Metabolic syndrome is stroke the main risk factors， we should actively control， strengthening prevention， at the same time， we should improve the disease of heart head blood-vessel hazard consciousness 　　[Key words] Metabolic syndrome；Stroke；Prognosis 　　代谢综合征（MS）是一种较为复杂的病理症状，是多种代谢紊乱后累积的不良结果，是诱发心脑血管疾病的元凶。其诊断标准与超重或者肥胖有关。引起代谢综合征的因素主要包括高血压、肥胖以及凝血因子不正常等。脑卒中俗名脑中风，是血液向大脑输送时因血管疾病而发生的一种急性疾病，由于血管壁薄弱形成脑出血，血液无法到达神经细胞而因缺氧而无法工作，导致这些神经细胞支配的某些身体机能也丧失功能。一般包括出血和梗死两种。特点是突然起病，本病属于中老年病，但现在青年发病趋势也与日俱增。脑卒中无特效药物治疗，所以重在预防。我院经研究发现脑卒中人群中并发代谢性综合征的患者预后