Clinical Analysis Of Risk Factors For Stroke In Progression

Objective：Looking for progress sex stroke related risk factors, provide thebasis for its prevention and clinical treatment.Methods：Collected the second hospital of jilin university neurology inDecember2013-June2014hospitalized, the clinical data of176patientswith cerebral apoplexy in patients admitted to hospital, condition changeand7days respectively by the National institute of Stroke Scale (NationalInstitutes of Stroke in progression Health Stroke Scale, NIHSS) Scale toscore, according to the score is increased by more than3or3points,divided into progress sex Stroke (Stroke in progression, SIP) group andnon progress sex Stroke (Not the Stroke in progression, NSIP) group,including SIP group of52cases, NSIP group124cases,Analysis andcomparison of two sets of patients with general information (age, gender,smoking, body temperature, blood pressure and blood pressure changesafter admission after admission, medical history, family history of stroke),biochemical indexes, triglyceride, low density lipoprotein cholesterol,uric acid, fasting glucose, fibrinogen, D-dimer, serum homocysteine)layer and head electronic computer scanning (Computerized tomography, CT), Magnetic resonance imaging (Magnetic resonance imaging, MRI),head and neck vascular colour to exceed, Magnetic resonanceangiography, Magnetic resonance angiograpgy, MRA) or CT angiography,Computerized tomography angiograpgy, CTA) change.ApplicationSPSS19.0software processing data, the comparison of two groups ofcount data line c2test, measurement data line t test, p <0.05, withstatistical significance.Results：1. The participants included176patients with ischemic stroke, includingSIP group of52cases, the SIP group124cases.The incidence of SIP is28.4%.2. Compare two groups of general information, in gender, age, smokinghistory, drinking history, family history of cerebrovascular disease incomparison difference has no statistical significance (P>0.05).Thehistory of high blood pressure, diabetes, compare the differences betweenthe two groups was statistically significant (P <0.05).3. The comparison of two groups of patients with fibrinogen and D-dimer, blood homocysteine, triglyceride, total cholesterol, low densitylipoprotein cholesterol (hdl-c), uric acid, blood sugar levels afteradmission, the results showed that blood sugar levels compare thedifferences between the two groups was statistically significant (P <0.05),more factors compare differences had no statistical significance (P> 0.05).4. Compare two groups of patients after admission, systolic bloodpressure, body temperature change, the differences were statisticallysignificant (P <0.05).Compare two groups of patients, according to theresults of watershed infarction (cortex and subcortical watershed) andlarge area of infarction compared with other type of infarction differencewas statistically significant (P <0.05).6. Check and compare two groups of patients with blood vessels,according to the results of vascular occlusion, moderately severe stenosisand unstable plaques in the differences between the two groups havestatistical significance (P <0.05).7. More patients with internal carotid artery system and vertebral basilarartery vascular occlusion, moderately severe stenosis or existence ofunstable plaque, the results showed that both comparative difference wasstatistically significant (P <0.05).Conclusions：1. The incidence of SIP is28.4%.2. History of diabetes, hypertension, history of independent risk factorsfor SIP.Systolic blood pressure drop, higher blood sugar, and fever afteradmission is progress important risk factors of stroke.3. The large area cerebral infarction and watershed infarction patients areprone to SIP. 4. Responsibility vascular occlusion, moderately severe stenosis andunstable plaques are SIP important predictors.Vascular occlusion,moderately severe stenosis of internal carotid artery system or unstableplaque than vertebral basilar artery vascular system of the above situationare more likely to progress.