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目的探讨预测脑梗死早期病情进展的危险因素。方法将70例进展型脑梗死与同期住院随机抽取的106例非进展型脑梗死的临床资料进行对照分析。结果进展组患者平均年龄为62.44±9.13a,非进展组患者的平均年龄为58.57±10.82a,(P<0.05);进展组有近期感染史21例,非进展组有8例,二者有显著性的差异(X2=15.44,P<0.01);进展组有糖尿病史25例,非进展组有15例,二者有显著性差异(X2=11.16,P<0.01);进展组有高脂血症史46例,非进展组有43例,二者有显著性差异(X2=10.67,P<0.01)。进展组与非进展组在高血压病史、吸烟、性别构成比方面无显著性差异。结论高龄、近期感染、糖尿病、高脂血症是预测脑梗死早期病情进展的危险因素。
Objective To explore the risk factors for predicting the progression of the early stage of cerebral infarction. Methods The clinical data of 70 patients with progressive cerebral infarction and 106 patients with non-progressing cerebral infarction randomly selected in hospital during the same period were compared. Results The average age of the patients in the progression group was 62.44 ± 9.13a, and the average age in the non-progression group was 58.57 ± 10.82a (P <0.05). There were 21 cases of recent infection and 8 cases of non-progression in the progression group (X2 = 15.44, P <0.01). The progression group had 25 cases of diabetes mellitus and 15 cases of non-progression group, with significant difference (X2 = 11.16, P <0.01) Serum history of 46 cases, non-progress group of 43 cases, the two were significantly different (X2 = 10.67, P <0.01). There was no significant difference in the history of hypertension, smoking, sex composition between the progression group and the non-progression group. Conclusion The elderly, recent infections, diabetes mellitus and hyperlipidemia are the risk factors to predict the progression of the early stage of cerebral infarction.