25例脑血管病后TIA和79例TIA临床分析.docVIP

25例脑血管病后TIA和79例TIA临床分析 　　[摘要] 目的 比?^该地区脑血管病后TIA患者及初发TIA患者对脑血管病危险因素等重视程度。方法 方便选取2014年6月―2016年5月该院收治的25例脑血管病后TIA病例作为观察组，将同期收治的79例初发TIA病例作为对照组。观察血压、血糖、血脂、房颤、发病至就诊时间、磁共振改变。结果 脑血管病后TIA组收缩压（139.24±17.70）mmHg、低密度脂蛋白（2.32±0.79）mmol/L、发病至就诊时间（5.28±7.19）h均显著低于初发TIA组（P6 h者2例 （8.00% ）；初发TIA患者中，症状持续时间6 h者5例（6.33%）。两组TIA患者症状持续时间与患者的转归差异有统计学意义（P0.005）。结论 临床上应对初发TIA与脑血管病后TIA 区别性危险因素进行重点排查，治疗提供时间保障；同时，也表明要应进一步加强该地区脑血管病的一级、二级预防宣教，来降低脑血管病的发生率。 　　[关键词] TIA；脑血管病；危险因素 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0055-03 　　Clinical Analysis of 25 TIA Cases after the Cerebrovascular Disease and 79 TIA Cases 　　HUANG Ping 　　Department of Neurology， Tongzhou District People’s Hospital， Nantong， Jiangsu Province， 226300 China 　　[Abstract] Objective To compare the attention degree of TIA patients after the cerebrovascular disease and initial TIA patients to the risk factors of cerebrovascular disease. Methods Convenient selection 25 cases of TIA cases after the cerebrovascular disease admitted and treated in our hospital from June 2014 to May 2016 were selected and 79 cases of initial TIA cases admitted and treated in our hospital at the same period were selected as the control group， and the blood pressure， blood glucose， blood liquid and diagnosis time and MRI changes were observed. Results The systolic pressure， low density lipoprotein and time from onset to diagnosis in the TIA group after the cerebrovascular disease were respectively （139.24±17.70）mmHg，（2.32±0.79）mmol/L and（5.28±7.19）h， which were obviously lower than those in the initial TIA group（P 6 h， accounting for 8.00%； in the initial TIA patients， there were 57 cases whose symptoms duration 6 h， accounting for 6.33%， and the symptom duration of TIA patients was statistically significant with the outcome of patients（P 　　[Key words] TIA； Cerebrovascular disease； Risk factors 　　短暂性脑缺血发作（ transien ischemic attack，TIA） 是?R床最常见的脑血管疾病之一，它也是引起不可逆性脑梗死最重要的病因之一[1]，与此同时，TIA也是各种脑血管疾病的共同临床表现之一[2]。因此，临床治疗上不但要明确初发型TIA患者与脑血管病后伴发