Atherosclerotic Stroke And Small Arterial Occlusive Stroke Risk Factors Analysis And Prognosis Comparison

Objective:In addition to cardiogenic cerebral embolism,the most common type of TOAST classification is large atherosclerotic stroke and small arterial occlusive stroke.This experiment mainly studies the risk factors and the difference in prognosis between the two.Method:The ischemic cerebrovascular patients who were hospitalized in the Department of Neurology of the Second Hospital of Hebei Medical University from October 2016 to February 2018 were selected and 96 patients whose onset was within 3 days and whose electrocardiogram excluded the atrial fibrillation.The two groups were divided into aortic atherosclerotic stroke and small arterial occlusive stroke.Both groups were given conventional treatment,and relevant information was recorded in detail.Result:1.Age is an independent risk factor for atherosclerotic cerebral infarction,and the difference is statistically significant(t=2.345,P<0.05).2.Apolipoprotein a1(?2=2.099,P<0.05)and high-density lipoprotein(?2=9.337,P<0.05)decreased in blood.There was a statistically significant difference between the two.3.There were no statistically significant differences in leukoaraiosis,brain atrophy and Cerebral Microbleeds(CMBs)between the two groups.4.The NIHSS scores at the time of discharge from aortic sclerotic stroke patients were significantly higher than those of the control group,and the difference between them was statistically significant(t=2.243,P<0.05).However,there was no significant difference in the modified MRS score(t=1.847,P >0.05)between the two groups at 1 month.Conclusions:1.Age is an independent risk factor for atherosclerotic stroke.2.The reduction of serum apolipoprotein a1 and high density lipoprotein is associated with atherosclerotic stroke.3.Although the recovery of large atherosclerotic stroke is slow than small arterial occlusive stroke within half a month,there is a golden recovery period around 1 month.