蒙汉族急性脑梗死伴H型高血压的的相关危险因素及临床特征的研究-神经病学专业毕业论文.docxVIP

万方数据 万方数据 目 录 中文摘要······························································································· （1） 英文摘要······························································································· （3） 论文题目······························································································· （5） 研究对象与材料··················································································· （6） 结果·································································································· （9） 讨论································································································ （21） 结论································································································ （23） 参考文献·························································································· （24） 文献综述····························································································· （26） 参考文献·························································································· （30） 缩略语表····························································································· （34） 攻读学位期间发表文章情况····································································· （35） 个人简历····························································································· （36） 致谢··································································································· （37） 内蒙古医科大学硕士研究生学位论文（2 内蒙古医科大学硕士研究生学位论文（2015） PAGE 1 蒙汉族急性脑梗死伴 H 型高血压的的相关危险因素及临床特 征的研究 中 文 摘 要 目的：探讨蒙古族和汉族伴有 H 型高血压急性脑梗死的相关危险因素、临 床特征的差异，为防治不同种族间的脑梗死寻找理论依据。 方法：收集 2013 年 10 月—2014 年 12 月在鄂尔多斯市中心医院神经内科住 院的伴有高血压的急性脑梗死患者 204 例（蒙古族 48 例，汉族 156 例）。首次发 病，时间在 1 周内，均经头颅 CT 或 MRI 证实，年龄在 45-75 周岁。记录患者年龄、 性别、民族，吸烟饮酒史、高血压病史一般资料。入院后第二天早晨抽取空腹静 脉血,应用酶联免疫法测定血清同型半胱氨酸值。记录同型半胱氨酸、总胆固醇、 甘油三酯 、高密度脂蛋白 、低密度脂蛋白、C 反应蛋白值。24 小时内完成 NIHSS 评分检查。颈部血管彩超、TCD 检查记录血管狭窄程度，轻度、中度、重度、闭塞。 根据种族及同型半胱氨酸值分为四个组，蒙古族 H 型高血压脑梗死组；汉族 H 型 高血压脑梗死组；蒙古族非 H 型（单纯）高血压脑梗死组；汉族非 H 型（单纯） 高血压脑梗死组。对两个大组及四个亚组进行比较。统计