黄锦凤（广东省肇庆市德庆县中医院 肇庆 526600）

无症状脑梗死患者的临床分析和防范

黄锦凤
（广东省肇庆市德庆县中医院 肇庆 526600）

摘 要目的：探讨无症状脑梗死患者的危险因素和防范措施。方法：采用随机抽样方法选取2013年1月至2014 年9月收治的无症状脑梗死患者80例作为研究组，另选取同期收治的80例有症状脑梗死患者作为对照组，对两组患者的血压、血糖、血尿酸等进行有效测定，并行颈部血管彩色多普勒超声检查。结果：研究组中有冠心病、糖尿病、高血压、高血脂、高尿酸血症、吸烟史、颈动脉斑块的比例均显著高于对照组（P＜0.05）。在研究组中，血糖、血压、血脂控制好及血尿酸正常者的症状性脑梗死发生率均显著低于血糖、血压、血脂控制差及血尿酸高者（P＜0.05）。结论：无症状脑梗死患者的主要防范措施包括有效控制血糖、血压、血脂及血尿酸等。

关键词脑梗死 危险因素 预防

Clinical analysis of the patients with asymptomatic cerebral infarction and its prevention

HUANG Jinfeng
(Traditional Chinese Medicine Hospital of Deqin County, Zhaoqing, Guangdong 526600, China)

ABSTRACTObjective: To explore the risk factors of the patients with asymptomatic cerebral infarction and its preventive measure. Methods: The random sampling method was used to select 80 cases with asymptomatic cerebral infarction from January 2013 to September 2014 as a study group, and the other 80 patients with the symptom of cerebral infarction as a control group over the same period. The blood pressure, blood glucose, blood uric acid and others were effectively determined in the two groups and the neck vascular color Doppler ultrasound examination was also performed. Results: The ratio of the patients with coronary heart disease, diabetes, hypertension, hyperlipidemia, hyperuricemia, smoking history, and carotid artery plaque were significantly higher in the study group than those in the control group (P＜ 0.05). The incidence of the symptomatic cerebral infarction in the patients with the well control of the blood glucose, blood pressure, blood lipid and serum uric acid was significantly lower in the study group than in the patients with the poor control of the blood glucose, blood pressure, blood lipid and high blood uric acid (P ＜0.05). Conclusion: The main preventive measure for the patients with asymptomatic cerebral infarction includes the effective control of the blood glucose, blood fat, blood pressure, blood uric acid and others.

KEY WORDScerebral infarction; risk factor; prevention

随着影像学在临床的日益广泛应用，无症状脑梗死的检出率呈逐年上升趋势，受到广泛重视[1]。为了进一步了解无症状脑梗死的危险因素，本研究对我院收治的无症状脑梗死患者的临床资料进行统计分析，并探讨防范措施。

1 资料与方法

1.1 一般资料

采用随机抽样法选取我院内科2013年1月至2014年9月收治的80例无症状脑梗死患者作为研究组，其中男性41例，女性39例，年龄47~79岁，平均（64.6±7.1）岁；另选取我院同期收治的80例有症状脑梗死患者作为对照组，其中男性44例，女性36例，年龄49~80岁，平均（65.1±6.1）岁。所有患者均经头颅CT或MRI证实，研究组中，22例为单发病灶，58例为多发病灶；……