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[目的]探讨进展性脑卒中(stroke in progression,SIP)的危险因素。[方法]选择2005年1月～2009年12月我院收治的SIP患者161例与同期住院治疗的脑梗死患者157例进行比较分析研究。[结果]161例进展性脑卒中患者有糖尿病史106例,明显高于对照组55例(P﹤0.05);进展性脑卒中组高血压115例,对照组高血压79例,两组比较差异有显著性(P﹤0.05);81例进展性脑卒中组患者和32例对照组患者行颈动脉超声检查,前者81例,对照组32例,差异有显著性(P﹤0.05);SIP组中近期感染者32例,对照组感染20例,两组感染率比较差异有统计学意义(P﹤0.05);观察组高胆固醇131例,而对照组101例,两者比较差异无统计学意义(P﹥0.05)。[结论]进展性脑卒中的发病与多种因素相关,相应颈动脉粥样硬化和人院时高血糖、高血压、近期感染是完全前循环梗死型进展性脑卒中的危险因素。
[Objective] To explore the risk factors of stroke in progression (SIP). [Methods] From January 2005 to December 2009, 161 cases of SIP patients treated in our hospital and 157 cases of cerebral infarction hospitalized in the same period were compared and analyzed. [Results] Among the 161 patients with progressive stroke, 106 patients had history of diabetes mellitus, which was significantly higher than 55 patients in the control group (P <0.05); 115 patients in the progressive stroke group and 79 patients in the control group had hypertension, (P <0.05); 81 patients with advanced stroke group and 32 patients with control group underwent carotid ultrasonography, the former 81 cases, the control group 32 cases, the difference was significant (P <0.05); SIP group There were 32 cases of infection in recent and recent cases and 20 cases of infection in control group, the difference was statistically significant (P <0.05). The observation group had 131 cases of hypercholesterolemia and 101 cases of control group. There was no significant difference between the two groups (P> 0.05). [Conclusion] The incidence of progressive stroke is related to various factors. The corresponding carotid atherosclerosis and hospitalized patients with high blood sugar, high blood pressure and recent infection are the risk factors of complete anterior circulation infarction-type progressive stroke.