【摘要】：目的:通過(guò)比較進(jìn)展性與非進(jìn)展性缺血性小卒中患者顱內(nèi)血管狹窄情況及一些血液學(xué)指標(biāo),結(jié)合臨床探討小卒中出現(xiàn)進(jìn)展的可能相關(guān)因素。方法:以2015年1-12月至我院就診的發(fā)病3 d內(nèi)的腦卒中患者為研究對(duì)象,均為入院時(shí)美國(guó)國(guó)立衛(wèi)生院卒中量表(NIHSS)評(píng)分每項(xiàng)≤1分,其中意識(shí)評(píng)分必須為0分且評(píng)分總分≤3分的小卒中患者。比較42例進(jìn)展性小卒中及72例非進(jìn)展性小卒中患者頭顱CTA檢查結(jié)果及部分血液學(xué)指標(biāo),以分析小卒中進(jìn)展可能的相關(guān)因素。結(jié)果:兩組比較,卒中部位、顱內(nèi)大血管動(dòng)脈粥樣硬化情況可能與小卒中進(jìn)展無(wú)明顯相關(guān),而血纖維蛋白原及C-反應(yīng)蛋白兩組間差異有顯著性,進(jìn)展性小卒中組高于非進(jìn)展性小卒中組。結(jié)論:小卒中進(jìn)展可能與顱內(nèi)大動(dòng)脈動(dòng)脈粥樣硬化程度無(wú)明顯相關(guān),而與腦梗死發(fā)病時(shí)血液黏稠度及血管內(nèi)皮損傷程度有關(guān)。
[Abstract]:Objective: to compare the intracranial vascular stenosis and some hematologic indexes in patients with progressive and non-progressive ischemic stroke and to explore the possible factors related to the progression of stroke. Methods: stroke patients with stroke within 3 days from January to December 2015 in our hospital were studied. The (NIHSS) scores of stroke scale of the National Institutes of Health (NHS) were 鈮，

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