摘要
目的探讨短暂性脑缺血发作(TIA)最终发展为脑梗死的病因及相关危险因素。方法对2012年9月—2015年9月我院收治的110例TIA患者为观察对象,进行6个月治疗后随访,将其分为梗死组(发展为脑梗死)和非梗死组(未进展为脑梗死)。通过对两组病因、高危因素等分析以并进行ABCD2评分对比,进行相关因素的临床研究。结果 1110例患者中71例发展为脑梗死(占64.55%),余39例未出现脑梗死(占35.45%);2研究显示发展为脑梗死的危险因素为高血压、轻偏瘫、糖尿病、血脂及血管异常;3TIA发作持续时间大于30分钟的病例易进展为脑梗死;4ABCD2评分越高形成脑梗死的机率越大。结论 TIA患者治疗后发生脑梗死和(或)复发性TIA与高血压、轻偏瘫、糖尿病、动脉硬化、动脉狭窄具有相关性。
Objective：To evaluate the risk factors for cerebral infarction after transient ischemic attacks （TIA）. Methods： The study are 110 patients with recurrent attacks of TIA from September 2012 to September 2015 at our hospital and carry Out the six-month follow-up to the following patients. This study divided 110 Patients into the group of infarction group（ Patients develop into cerebral infarction） and non-infarction group（ Patients did not develop into cerebral infarction）. Through the comparison with gender, high risk factors, attack time and the grade of ABCD2 between two groups, to carry out clinieal research and discussion. Results：①A mong the 110 follow-up cases,71 patients develop into cerebral infarction （64. 55% ）; the other 39 patients did not develop into cerebral infarction（35.45 ）%. ②the principle etiological factor of patients developing into cerebral infarction are hypertension, hemiparesis, diabetes and hemadostenosis. ③It is easier to develop into cerebral infarction when TIA attack duration exceed 30 minutes. ④The higher the grade of ABCD2 is, the higher developing into the cerebral infarction is. Conclusions： The factors of easily developing into cerebral infarction were associated with hypertension,hemiparesis, diabetes, hemadostenosis.
出处
《泰山医学院学报》
CAS
2016年第8期863-864,共2页
Journal of Taishan Medical College
关键词
短暂性脑缺血发作
脑梗死
危险因素
转归
transient ischemic attack
cerebral infarction
risk factors
termination
