The Study Of Repetitious Or Alternant Occurrence Of The Cerebral Hemorrhage/Cerebral Infarction.

【Goals】To investigate the risk factors of recurrence or alteration of cerebral hemorrhage/ cerebral Infarcted,in order to decrease the liable inflectional habits and medical source that cause the stroke.【Methods】Clinical data of the patients(n=300),who had been in hospital twice or more than twice for cerebral ischemic or hemorrhagic stroke,and the patients(n=250),who were suffered from stroke and haven't recurrent up to now,was analyzed by a case-control study,single factor analysis,controls were matched for the incidence rate of infarction after hemorrhage/ hemorrhage after infarction and,the time and death rate of recurrence stroke,the interference contribution such as age,sex,smoking,drinking,the caplendus of the medicine of second level prevention of brain infarction such aspirin and Fufang Danshen and hypertension,diabetes mellitus,heart diseases,Carotid Atherosclerosis plaque.【Results】The death rate between "CI-CI"and "CI-CH" achieved no significant deviation,the death rate was 77.1%in "CH-CI",it is 16.2%in "CH-CH",achieved significant deviation.The age was older between the "CI-CF" and "un—Recurrence Groups","CI-CI" and "un—Recurrence Groups",the statistics was 71.64±3.22,69.10±6.45 and 65.83±9.62,63.20±6.45, showed significant deviation.The ratio of smoking and drinking achieved significant deviation between "Recurrence Groups" and "un—Recurrence Groups";In the caplendus of the medicine of second level prevention field,the recurrence rate of the "un-overdose group" was higher than those "overdose group",achieved 16.35%.At the same time,the ratio of alteration occurrence of CH was higher in the "middle and large dose",such as(Aspirin:100—200mg,＞200mg), achieved significant deviation;It showed higher occurrence in the "CI-CI" and "CI-CH" compared with the "un—Recurrence CI" in hypertension,heart diseases,hyperglycemia, Carotid Atherosclerosis plaque.Hyperlipidemia higher occurrence in "CH-CI" and "CH-CH" compared with "un—Recurrence CH",(p＜0.005),achieved significant deviation.It achieved a batter effective ratio in "Treatment Group" compared with "Routine Group" in "CH" and "CI" (87%,57%and 84%,67%),and CWI(cerebral watershed infarction) also showed significant deviation between the two Groups(0%,8.8%and 0.56%,9.7%).In the "CH" patients that took hemostatics more than 8 days;the occurrence of HI(hemorrhagic infarction),alteration occurrence of CI and CWI were higher than other groups;in the patients that were in hospital for CI,the recurrence and alteration ratio are higher in the "BP control Group" than it in "BP un -control Group";in the CH patients,the recurrence is higher in the "BP control Group" than it in "BP un-control Group".【Conclusion】The factors such as age,the prevalence of hypertension,heart diseases,drinking and smoking is the risk factor of the recurrence of stroke,just like they are risk factor of stroke; The impertinent decompression and hemostasis may aggravate pathogenetic condition,increase the occurrence of repetitious or alternant of the cerebral hemorrhage/cerebral infarction;and "0" and large dose of the caplendus of the medicine of second level prevention of brain infarction is the risk factor of repetitious or alternant of the cerebral hemorrhage/cerebral infarction.