后循环脑梗死与椎动脉优势的相关性研究

发布时间：2018-03-03 14:01

本文选题：椎动脉优势　切入点：后循环脑梗死　出处：《临床医学》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨椎动脉优势与后循环血管供应部位脑梗死的相关性及其后循环脑梗死的危险因素分析。方法选取保定市第一医院住院治疗符合本研究标准的急性脑梗死患者。回顾性分析所收集患者的性别、年龄、高血压、糖尿病、高脂血症、高同型半胱氨酸血症、既往短暂性脑缺血发作(TIA)史等资料,研究后循环脑梗死患者与椎动脉优势的相关性,应用Logistic回归分析得出后循环脑梗死的独立危险因素。结果椎动脉优势是后循环脑梗死发生的危险因素,且椎动脉优势组中基底动脉(BA)分区及小脑后动脉(PICA)分区的梗死发生率明显高于对照组。椎动脉优势、高同型半胱氨酸血症、既往TIA史均是后循环脑梗死的独立危险因素。结论椎动脉优势患者更易发生后循环PICA区和BA供血区梗死。有效防治高同型半胱氨酸血症以及TIA发作,对改善后循环脑梗死复发可能具有一定意义。
[Abstract]:Objective to investigate the correlation between vertebral artery dominance and cerebral infarction at posterior circulation supply site and the risk factors of posterior circulation cerebral infarction. Methods the first Hospital of Baoding City was selected to treat acute cerebral infarction in accordance with the criteria of this study. Patient. Retrospective analysis of the gender of the patient collected, Age, hypertension, diabetes, hyperlipidemia, hyperhomocysteinemia, history of transient ischemic attack (TIA), and so on. Logistic regression analysis was used to determine the independent risk factors of posterior circulation cerebral infarction. Results vertebral artery dominance was the risk factor of posterior circulation cerebral infarction. The incidence of infarction in the basilar artery (BA) and posterior cerebellar artery (PICA) subdivision was significantly higher in the vertebral artery dominance group than in the control group. TIA history is an independent risk factor for posterior circulation cerebral infarction. Conclusion patients with predominance of vertebral artery are more prone to infarction in posterior circulation PICA area and BA supply area, and can effectively prevent and treat hyperhomocysteinemia and TIA attack. It may have some significance to improve the recurrence of posterior circulation cerebral infarction.
【作者单位】：承德医学院;河北省保定市第一医院神经内科;
【分类号】：R743.33

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