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[脑循环短暂性障碍的预后及中风发生的危险因素]

[Prognosis of transient disorders of cerebral circulation and risk factors in the development of stroke].

作者信息

Voĭnarevich A O, Gorbacheva F E, Kvasov V T

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(9):1298-1300.

PMID:919950
Abstract

The paper is concerned with the results of a study of 140 patients who had had transient disorders of cerebral circulation. Among these cases 47 were subjected to a prospective observation and 93 to a retrospective one. The authors analyse 32 possible risk factors of brain stroke in patients with transient disorders of cerebral circulation. Their mathematical processing was accomplished with the aid of correlational coefficients and conditioned probabilities, detecting the highest pathogenic importance of these factors (such as disturbance of the rhythm of cardiac activity, arterial hypertension higher than 190 mm, etc). A mathematical evaluation and combination of factors was made. It was demonstrated that there is a diminution of the risk of development of ischemic stroke with development of parkinsonism in patients with transient disorders of cerebral circulation. The authors give recommendations for prophylactic treatment in order to prevent strokes in this group of patients.

摘要

本文关注对140例曾有过脑循环短暂障碍患者的研究结果。在这些病例中,47例接受前瞻性观察,93例接受回顾性观察。作者分析了脑循环短暂障碍患者发生脑卒中的32种可能危险因素。借助相关系数和条件概率对这些因素进行数学处理,发现这些因素(如心脏活动节律紊乱、动脉血压高于190毫米汞柱等)具有最高的致病重要性。对各因素进行了数学评估和综合。结果表明,脑循环短暂障碍患者中,帕金森病的发生会降低缺血性脑卒中的发病风险。作者给出了预防性治疗的建议,以预防该组患者发生脑卒中。

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