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目的对急性脑梗死并脑微出血后期心脑血管事件发生率及危险因素进行分析与探讨。方法回顾性分析2013年5月至2015年5月湄潭县人民医院接受治疗的100例脑梗死患者的临床及影像学检查资料,并对急性脑梗死并脑微出血阴性组与阳性组患者记录指标进行对比分析,通过多元回归法对脑微出血阳性组患者实施危险因素分析。结果两组高血压、腔隙性脑梗死、服用抗血小板药物、脑白质稀疏及年龄等比较差异均有统计学意义(P<0.05),而高血压、脑白质稀疏、高血脂及腔隙性脑梗死是急性脑梗死患者发生微出血的主要危险因素。阳性组缺血性心脏病、脑梗死及病死率与阴性组比较差异未见统计学意义(P>0.05),但阳性组患者脑出血发生率显著升高,差异有统计学意义(P<0.05)。结论急性脑梗死患者存在较高的脑微出血发生率,而且脑出血和患者高血脂、脑白质稀疏、腔隙性脑梗死及高血压等因素密切相关。
Objective To analyze the incidence and risk factors of cardiovascular and cerebrovascular events in patients with cerebral infarction complicated with cerebral hemorrhage. Methods The clinical and imaging data of 100 patients with cerebral infarction who were treated in Meitan People’s Hospital from May 2013 to May 2015 were retrospectively analyzed. The records of patients with acute cerebral infarction and cerebral hemorrhage negative and positive were recorded Indicators were compared and analyzed by multiple regression analysis of cerebral micro-hemorrhagic positive group of risk factors for the implementation of the analysis. Results There were significant differences between the two groups in the incidence of hypertension, lacunar infarction, taking antiplatelet drugs, white matter sparseness and age (P <0.05), while hypertension, sparse white matter, hyperlipemia and lacunar Cerebral infarction is a major risk factor for microbleeds in patients with acute cerebral infarction. Positive ischemic heart disease, cerebral infarction and mortality and the negative group was no significant difference (P> 0.05), but the incidence of cerebral hemorrhage in the positive group was significantly increased, the difference was statistically significant (P <0.05 ). Conclusion There is a high incidence of cerebral micro-hemorrhage in patients with acute cerebral infarction, and cerebral hemorrhage is closely related to hyperlipidemia, sparse white matter, lacunar infarction and hypertension.