Analysis of risk factors and intervention strategies of progressive cerebral infarction
进展性脑梗死相关危险因素分析及干预对策

摘要

目的 研究分析导致进展性脑梗死的危险因素，并提出针对性干预对策。方法 在2018年1月至2022年1月期间选取研究对象，研究对象的总人数为210例，并且患有急性脑梗死，在患者病情最重时以及入院时填写美国国立卫生院脑卒中量表（NIHSS），根据评分差值将患者分为两组，分别为非进展性脑梗死以及进展性脑梗死，统计患者的临床资料以及各项检查资料，采用Logistic回归分析进展性脑梗死的危险因素。结果 Logistic回归分析显示，发热、白细胞计数、CT早期脑梗死征象、重度脑微出血、糖尿病史、平均动脉压、颈内动脉狭窄、血糖、颅内动脉狭窄、脑分水岭梗死是导致患者发生进展性脑梗死的独立危险因素。结论 发热、白细胞计数、CT早期脑梗死征象、重度脑微出血等10个因素均为进展性脑梗死的独立危险因素，临床医师在为患者实施治疗时需要充分重视，并进行预防。

Abstract

Objective To study and analyze the risk factors of progressive cerebral infarction, and put forward targeted intervention strategies.
Methods In January 2018 to January 2022, during the selection of the research object, the object of study of the total number of 210 cases, and patients with acute cerebral infarction, in most patients and hospital to fill in the United States national institutes of health stroke scale (NIHSS) scores, according to the score difference divided the patients into two groups, respectively, the progressive cerebral infarction as well as the progress of cerebral infarction, The clinical data and examination data of the patients were analyzed. Logistic regression was used to analyze the risk factors of progressive cerebral infarction.
Results Logistic regression analysis showed that fever, white blood cell count, early CT signs of cerebral infarction, severe cerebral microhemorrhage, history of diabetes, mean arterial pressure, internal carotid artery stenosis, blood glucose, intracranial artery stenosis, and cerebral watershed infarction were independent risk factors for progressive cerebral infarction.
Conclusion   Fever, white blood cell count, CT signs of early cerebral infarction, severe cerebral microhemorrhage and other 10 factors are independent risk factors for progressive cerebral infarction. Clinicians should pay full attention to the treatment of patients and carry out prevention.