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目的 探讨 1周内TIA对老年人首发脑梗死有无保护作用。方法 将首发脑梗死老年患者分为观察组 (病前 1周内有TIA)和对照组 (病前 1周内无TIA) ,观察意识障碍发生率、病死率、神经功能有缺损评分及脑血流量。结果 观察组意识障碍发生率、神经功能缺损评分低于对照组 ,而脑血流量高于对照组 ,且治疗一月后疗效好 ,但病死率无明显差别。结论 1周内TIA对老年人首发脑梗死有保护作用。
Objective To investigate the protective effect of TIA on first-episode cerebral infarction in the elderly within 1 week. Methods Elderly patients with primary cerebral infarction were divided into observation group (TIA within 1 week before disease) and control group (without TIA within 1 week before disease). Obstructive rate, mortality, neurological deficit scores and cerebral blood flow. Results The incidence of disturbance of consciousness, neurological deficit in the observation group was lower than that of the control group, but the cerebral blood flow was higher than that of the control group. The curative effect was good after one month of treatment, but the mortality was not significantly different. Conclusion TIA has a protective effect on first-episode cerebral infarction in the elderly in 1 week.