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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。
Objective: To explore the risk factors and preventive measures in patients with asymptomatic cerebral infarction. Methods: Eighty patients with asymptomatic cerebral infarction admitted from January 2013 to September 2014 were selected as the study group by random sampling method. Another 80 patients with symptomatic cerebral infarction who were treated in the same period were selected as the control group. Blood pressure, blood glucose, blood uric acid and other effective determination of parallel neck color Doppler ultrasound. Results: The study group had coronary heart disease, diabetes, hypertension, hyperlipemia, hyperuricemia, smoking history, carotid plaque ratio were significantly higher than the control group (P <0.05). In the study group, the incidence of symptomatic cerebral infarction with good blood sugar, blood pressure, lipid control and normal blood uric acid were significantly lower than those with high blood sugar, blood pressure, poor lipid control and high serum uric acid (P <0.05). Conclusion: The main preventive measures in patients with asymptomatic cerebral infarction include effective control of blood glucose, blood pressure, blood lipids and serum uric acid.