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目的探讨进展性缺血性脑卒中的相关因素及诊治措施。方法分析我科60例患者的临床资料。结果治疗组3d后神经功能缺损评分明显逐渐降低,对照组3d后病情仍在进展,14d后评分才逐渐下降。两组14d后和21d后神经功能缺损评分下降率分别比较,治疗组均明显优于对照组(P<0.05)。结论进展性缺血性脑卒中的发生是多种因素和多种机制共同作用的结果。对于入院时存在体温、血压、血糖升高的高危患者应尽早引起重视,早期预测卒中进展发生的可能性,阻止缺血性脑卒中的进展。
Objective To explore the related factors and diagnosis and treatment of progressive ischemic stroke. Methods The clinical data of 60 patients in our department were analyzed. Results After 3 days, the score of neurological deficit in the treatment group decreased significantly. The condition in the control group was still progressing after 3d and the score decreased gradually after 14 days. The decline rate of neurological deficit scores of the two groups after 14d and 21d were significantly better than that of the control group (P <0.05). Conclusions The occurrence of progressive ischemic stroke is a result of a combination of multiple factors and mechanisms. High-risk patients with presence of body temperature, blood pressure, and elevated blood glucose should be given early attention and early prediction of the possibility of stroke progression to prevent progression of ischemic stroke.