颈动脉狭窄患者发生缺血性脑卒中的危险因素及预防

摘要

Objective:To analysis risk factors and effective preventive measures of ischemic stroke in patients with carotid artery stenosis in local area. Method:60 cases of ischemic stroke result in carotid artery stenosis and 60 cases of normal control group were retrospectively analyzed. Risk factors of ischemic stroke were analyzed. Result:The risk factors of carotid artery stenosis patients to ischemic stroke included age,coronary heart disease,hypertension,diabetes,hyperlipidemia,smoking,atrial fibrillation.Patients who were 60 years of age or even older with coronary heart disease and hypertension and smoking were associated with the risk of ischemic stroke increased in stratified analysis. Conclusion:For reduce the occurrence of ischemic stroke,early carotid artery ultrasonography,strengthened drug prevention,strengthened publicity and education,encouraged to stop smoking should be used for 60 years old smokers with hypertension and hyperlipemia.%目的：分析探讨本地区颈动脉狭窄患者发生缺血性脑卒中的危险因素及相关有效预防措施。方法：回顾分析本院收治的颈动脉狭窄所致的缺血性脑卒中患者60例及门诊对照组正常患者60例，对比两组患者的相关资料，分析发生缺血性脑卒中的危险因素。结果：颈动脉狭窄患者发生缺血性脑卒中危险因素包括年龄、冠心病、高血压、糖尿病、高脂血症、房颤、吸烟等。分层分析中60岁以上，同时伴有高血压、冠心病及吸烟的患者发生缺血性脑卒中几率增加。结论：对于60岁以上伴高血压高血脂的吸烟患者应早期进行颈动脉彩超检查，加强药物预防，加强宣传教育，鼓励戒烟，降低缺血性脑卒中发生。