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成人创伤性脑损伤后脑卒中发生的相关临床研究

高岩升 张晓明 万传军 张尚飞 胡伟盛

国际神经病学神经外科学杂志2012,Vol.39Issue(3):205-208,4.
国际神经病学神经外科学杂志2012,Vol.39Issue(3):205-208,4.

成人创伤性脑损伤后脑卒中发生的相关临床研究

Study of the correlative risks on stroke in patients with traumatic brain injury

高岩升 1张晓明 2万传军 1张尚飞 1胡伟盛3

作者信息

  • 1. 驻马店市中心医院神经外二科,河南驻马店463000
  • 2. 中国人民解放军159中心医院神经内科,河南驻马店463000
  • 3. 驻马店市中心医院神经内一科,河南驻马店463000
  • 折叠

摘要

Abstract

Objective Preliminarily investigate the correlation between patients with traumatic brain injury and the subsequent occurrence of stroke. Methods A total of 1645 patients with a diagnosis of TBI were included, together with 3294 non-TBI patients as our comparison group, were followed for 3 months, 1 year and 3 years to identify subsequent occurrence of stroke. And, recorded whether they had the history of, hypertension, diabetes, coronary heart disease, hyperlipidemia, atrial fibrillation. Case-control study was used to analyze the correlation between patients with traumatic brain injury and the subsequent occurrence of stroke. Results ①Patients with TBI were more likely to have hypertension, diabetes, coronary heart disease, and atrial fibrillation (P<0.001) , than were patients in the comparison group. No significant difference in hyperlipidemia ( P > 0. 05) between patients with TBI and the comparison patients was found. ②As compared with patients in the comparison group, patients with TBI had significantly higher stroke rates within the 3-month (3. 16% versus 0. 82% ) , 1-year (6. 69% versus 1. 70% ) , and 3-year (9. 36% versus 4. 01% ) periods. ③As compared with patients in TBI without skull fracture, patients in TBI with skull bone fracture significantly higher stroke rates within the 3-month ( 10. 22% versus 2. 52% ) , 1-year (18. 25% versus 5.64% ) , and 3-year (22.08% versus 7. 96% ) periods. Conclusions Individuals who have sustained a TBI maybe an increased risk of stroke during the first few months and years, especially patients with skull fracture.

关键词

创伤性脑损伤/脑卒中/相关性

Key words

Traumatic brain injury/ Stroke/ Correlation

引用本文复制引用

高岩升,张晓明,万传军,张尚飞,胡伟盛..成人创伤性脑损伤后脑卒中发生的相关临床研究[J].国际神经病学神经外科学杂志,2012,39(3):205-208,4.

国际神经病学神经外科学杂志

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