Analysis Of Relationship Between Ischemic Stroke And Hyperuricemia In Elderly Hypertensive Patients

Objective:To investigate the relationship between serum uric and ischemic stroke of the hypertension of aged people. To predict in elderly hypertensive patients the incidence of ischemic stroke, for monitoring and evaluation of diagnosis and treatment of ischemic stroke in elderly provide valuable clinical reference information for the prevention and treatment of ischemic stroke in elderly provide a new way of thinking.Methods:from December 2009 to December 2010 admitted to the Second Affiliated Hospital of Kunming Medical College of Cardiology,100 cases of dry treatment over the age of 60 hypertensive patients for the study, monitoring the general situation, enrolled patients by history, head CT, Blood biochemistry, medical history, smoking history, drinking history and other related inspection, and the exclusion of congenital heart disease, secondary hypertension, type 1 diabetes, severe respiratory diseases, kidney, brain disease. Into uric acid under normal uric acid levels, hyperuricemia group. Group of normal uric acid and hyperuricemia incidence of ischemic stroke in the relationship between uric acid levels according to quartile of the population is divided into four subgroups, and is divided into male and female subgroups, further analysis of uric acid under different gender Level and the relationship between ischemic stroke, the use of Logistic regression analysis of blood uric acid level and the relationship between ischemic stroke. All test data processing and analysis software package using SPSS15.0, measurement data as mean±standard deviation (x±s) that the frequency count data said. Group t test was used to compare quantitative data, qualitative data using X2, P<0.05 was considered statistically significant.Results:The overall experimental group and control group in gender, age, height, weight, body mass index (BMI), smoking history, drinking history, surgical history, history of diabetes, hypertension, and taking the case, coronary heart disease history, fasting Plasma glucose (FPG), etc., the experimental group and control group no significant difference in general. (P<0.05), experimental group, the incidence of stroke in the control group, the incidence of stroke 2.884 times. Female patients with hypertension the risk of stroke is 3.846 times the men have a history of smoking stroke risk hypertensive patients is not smoking 2.932 times in patients with hypertension, abnormal triglycerides ischemic brain stroke The incidence of stroke is ischemic stroke triglycerides normal incidence of 3.679 times.Conclusion:In elderly hypertensive patients with high risk of hyperuricemia group of ischemic stroke than uric acid level of normal groups. The ischemic stroke in the aged women after menopause patients with primary hypertension than in elderly male group. The incidence of ischemic stroke obvious increase in patients with smoking history than in the patients with no smoking. The incidence of ischemic stroke obvious increase in the patients with high blood fat than in the normal people. In elderly essential hypertension patients with ischemic cerebral stroke at acute attack stage reduction of uric acid levels to reduce NIHSS score, improve prognosis and improve the quality of life.