Analysis of the relative factor of progression in ischemic stroke during hospitalization
10.3760/cma.j.issn.1673-4904.2011.10.005
- VernacularTitle:住院过程中缺血性卒中病情进展的相关因素分析
- Author:
Hongxia XU
- Publication Type:Journal Article
- Keywords:
Brain infarction;
Risk factor;
Benchmarking;
Individuation treatment
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(10):13-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To know the relative factor of progression in ischemic stroke during hospitalization and the risk degree of the risk factor, establish the individuation treatment system in acute ischemic stroke under the framework of standardization. Methods Six hundred and thirty-eight acute ischemic stroke patients' condition changes whose neural function depletion degree scored not more than 25 at that time of hospitalization were retrospectively analyzed. Scored once every 3 days. The gaining scores total to 10 to be determined stroke was progressed. Analyzed every influencing factor,and evaluated their risk degree to progressing stroke. Results Total 256 cases [40.13% (256/638)] state of illness turned to exacerbation,64 cases [25.00% (64/256)] were confirmed progressing stroke,CT showed foci extended; 192 cases [75.00%(192/256)] who only showed symptoms and physical signs dilation were confirmed to have incorrect treatment. Dehydrator and vasodilator agent application, simple systolic blood pressure decreasing [＜ 110 mm Hg (1 mm Hg =0.133 kPa)], hyperlipoidemia, diabetes mellitus were the important factors for progressing stroke (P＜ 0.05),especially when all risk factors appeared on 1 case. Conclusions The key of treatment is to protect half backspaced cerebral cell's normal functions in acute ischemic stroke, keep normal metabolism,avoid or control the water fall effect occurrence. If every influencing factor is disadvantage to cerebral cell's perfusion, oxygen consumption should be confirmed the risk factors in the progress of ischemic stroke. Not only know important of the standardization treatment, but also know the interest of individuation treatment, which combined with the patient's condition closely.
