摘要
目的 探讨TIA短期内进展至脑梗死的相关因素。方法 回顾性分析 396例TIA患者 ,采用多元Logistic回归模型分析TIA短期内进展至脑梗死的相关因素。结果 发作次数在 3次以上、高血压病史、脑血管病家族史、发作持续时间超过 180分钟、高血糖是TIA短期内进展至脑梗死的危险因素 ;接受抗凝、抗血小板、降纤维蛋白原治疗及病史超过 30天 (对照组 7天以内 )者脑梗死危险性降低。结论 TIA反复发作、发作持续时间较长以及存在脑血管病危险因素的患者容易发生脑梗死 ,对TIA患者应该采取积极的抗血栓治疗。
Objective To explore the predicators of cerebral infarction in patients with TIA. Methods 396 consecutive patients admitted as TIA were retrospectively analyzed. Logistic regression model was employed to explore predicators of cerebral infarction occurred in 30 days after admission. Results Hypertension, familial cerebral vascular disease history, more than 3 attacks, attacks lasted longer than 180 minutes, and hyperglycemia were identified as independent risk factors of cerebral infarction while anticoagulation, antiplatlet, defibrination therapy, and TIA history being longer than 30 days were proved to be the independent factors which could lower the risk of cerebral infarction after TIA. Conclusions Multiple attacks, prolonged ischemic duration, and more cerebral vascular disease risk factors indicate increased risk of stroke after TIA. Antithrombotic therapy is of great significance in preventing cerebral infarction after TIA.
出处
《卒中与神经疾病》
2004年第3期151-153,共3页
Stroke and Nervous Diseases
关键词
短暂性脑缺血发作
脑梗死
相关因素
Transient ischemic attack Cerebral infarction Predicators
