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目的探讨急性心脑卒中并存的危险因素、可能发病机理,指导临床早期诊断及治疗,提高诊疗水平,降低死亡率。方法将1999年1月-2009年12月泗县人民医院收治的急性心脑卒中并存60例患者临床资料作回顾性分析,随机抽取健康体检人群60例为对照组,均排除既往MI及CI病史。结果本组资料显示心脑卒中并存患者伴高血压病的检出率(93.33%)、伴糖尿病(63.33%)、伴高胆固醇(86.67%)、伴高血黏度(80%);明显高于对照组高血压者(8.33%)、糖尿病(3.33%)、高胆固醇(20%)、高血黏度(26.67%),两者差别有统计学意义(P<0.01)。结论急性心脑卒中并存与高血压、高血糖、血黏度增高及高血脂有关。
Objective To explore the risk factors, possible pathogenesis, early clinical diagnosis and treatment, improve diagnosis and treatment and reduce mortality. Methods A retrospective analysis of clinical data of 60 patients with acute cardiocerebral stroke treated in Si County People’s Hospital from January 1999 to December 2009 was carried out. 60 healthy people were randomly selected as the control group, and all patients with previous MI and CI were excluded . Results The data of this group showed that the detection rate of hypertension complicated by cardio-cerebral stroke was 93.33%, with diabetes (63.33%), high cholesterol (86.67%), high blood viscosity (80%), The control group had hypertension (8.33%), diabetes (3.33%), high cholesterol (20%) and high blood viscosity (26.67%), the difference was statistically significant (P <0.01). Conclusions Acute cardiocerebral stroke is associated with hypertension, hyperglycemia, hyperviscosity and hyperlipidemia.