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目的探讨进展性脑梗死的危险因素。方法将进展性脑梗死组148例高血压史、糖尿病史、大脑中动脉狭窄、椎动脉狭窄、颈动脉斑块、血压、血糖、三酰甘油、胆固醇、发热、血白细胞、C反应蛋白、纤维蛋白原水平与完全性脑梗死150例比较,进行统计学处理。结果进展性脑梗死收缩压水平下降,血糖增高,存在大脑中动脉、椎动脉狭窄,颈动脉斑块,三酰甘油、胆固醇、发热、血白细胞、C反应蛋白、纤维蛋白原水平等显著高于完全性脑梗死组。结论收缩压水平下降,高血糖、大脑中动脉、椎动脉狭窄,颈动脉斑块,三酰甘油、胆固醇、发热、血白细胞、C反应蛋白、纤维蛋白原水平升高是进展性脑梗死的危险因素。
Objective To explore the risk factors of progressive cerebral infarction. Methods A total of 148 patients with progressive cerebral infarction including hypertension, history of diabetes mellitus, middle cerebral artery stenosis, vertebral artery stenosis, carotid plaque, blood pressure, blood glucose, triglyceride, cholesterol, fever, white blood cells, C-reactive protein, Proteomics levels and 150 cases of complete cerebral infarction, statistical analysis. Results The levels of systolic blood pressure and blood glucose in patients with progressive cerebral infarction were significantly lower than those in patients with middle cerebral artery, vertebral artery stenosis, carotid artery plaque, triglyceride, cholesterol, fever, white blood cells, C-reactive protein and fibrinogen Complete cerebral infarction group. Conclusions Systolic blood pressure (BP) levels decrease and hyperglycemia, middle cerebral artery, vertebral artery stenosis, carotid artery plaque, triglyceride, cholesterol, fever, white blood cells, C-reactive protein and fibrinogen are risk factors for progressive cerebral infarction factor.