【摘要】 目的了解中青年进展性脑卒中患者的危险因素,为临床的早期诊断和治疗提供依据。方法收集2008~2015年来冠县人民医院诊疗的240例进展性脑卒中患者的临床资料,进行CISS分型,分析不同分型患者的危险因素。结果在240例进展性脑卒中患者中,大动脉粥样硬化型122例(50.83%)、心源性卒中型30例(12.50%)、穿支动脉疾病60例(25.00%)、其他病因型4例(1.67%)、病因不确定型24例(10.00%)。大动脉粥样硬化性脑卒中患者合并吸烟、饮酒、血脂异常的比例分别为47.57%、42.62%、65.57%,均明显高于其他各组(P<0.05、<0.01);高血压、糖尿病在各组间差异无统计学意义(P>0.05)。结论不同类型进展性缺血性脑卒中的危险因素不同,临床的预防与治疗措施应有针对性。更多还原

【Abstract】 Objective To understand the risk factors among young and middle-aged patients with progressive stroke,so as to provide basis for early clinical diagnosis and treatment. Methods The clinical data of 240 cases with progressive stroke treated in Guan county people’s hospital during 2008-2015 were collected and classified by CISS for analysis on the risk factors among patients with different types. Results Among 240 patients with progressive stroke,122 cases were patients with large artery atherosclerotic(50.83%),30 were patients with cardiac stroke(12.50%),60 were patients with penetrating artery disease(25.00%),4were patients with stroke of other etiologies(1.67%),and 24 were patients with stroke of undetermined etiologies(10.00%).Large artery atherosclerotic stroke patients combined with smoking,drinking and dyslipidemia accounted for 47.57%,42.62%and 47.57%respectively,were significantly higher than other groups(P<0.05,P <0.01).Hypertension and diabetes had no statistical significance between the groups(P >0.05). Conclusion There are different risk factors in different progressive ischemic strokes,clinical prevention and treatment measures should be taken on target.更多还原