年龄和高血压及糖尿病对短暂性脑缺血发作患者发展为急性脑梗死的影响

发布时间：2018-02-23 02:56

本文关键词： 脑梗死脑缺血发作短暂性年龄高血压糖尿病　出处：《中国全科医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨年龄、高血压及糖尿病对短暂性脑缺血发作(TIA)患者发展为急性脑梗死的影响。方法回顾性分析宜昌市中心医院神经内科、康复科、老年科2014年6月—2016年6月收治的100例TIA患者的临床资料,根据是否发展为急性脑梗死分为试验组(急性脑梗死)34例和对照组(非急性脑梗死)66例,比较两组患者的一般资料,并分析影响TIA发展为急性脑梗死的相关因素。结果试验组患者的收缩压、舒张压、血糖、总胆固醇和TIA首次发作距离治疗时间高于对照组,差异有统计学意义(P0.001);Logsitic回归分析显示年龄、高血压病史和糖尿病病史是影响TIA发展为急性脑梗死的相关因素(P0.05)。结论年龄、高血压病史和糖尿病病史是影响TIA发展至急性脑梗死的危险因素,患有糖尿病及高血压的高龄TIA患者出现急性脑梗死的风险较高,应加强关注,及早预防。
[Abstract]:Objective to investigate the effect of age, hypertension and diabetes on the development of acute cerebral infarction in patients with transient ischemic attack (TIA). Methods the neurology and rehabilitation department of Yichang Central Hospital were retrospectively analyzed. The clinical data of 100 patients with TIA admitted in geriatrics from June 2014 to June 2016 were divided into experimental group (34 cases of acute cerebral infarction) and control group (66 cases of non-acute cerebral infarction) according to whether they developed into acute cerebral infarction. The general data of the two groups were compared. Results the systolic blood pressure, diastolic blood pressure, blood glucose, total cholesterol and the onset distance of TIA in the trial group were longer than those in the control group. Age, history of hypertension and history of diabetes were the related factors influencing the development of TIA into acute cerebral infarction (P 0.05). The history of hypertension and diabetes are the risk factors that affect the development of TIA to acute cerebral infarction. The risk of acute cerebral infarction in elderly TIA patients with diabetes and hypertension is higher, so we should pay more attention to it and prevent it as soon as possible.
【作者单位】：湖北省宜昌市中心医院;
【分类号】：R544.1;R587.1;R743.31

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