急性脑梗死患者脑动脉狭窄的分布特点及其影响因素

发布时间：2018-01-27 23:59

本文关键词： 急性脑梗死脑动脉狭窄　出处：《中国老年学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨急性脑梗死患者脑动脉狭窄的分布特点及其影响因素。方法回顾性分析258例存在脑动脉狭窄的急性脑梗死患者的临床资料,采用Logistic回归方法,分析脑动脉狭窄形成的影响因素。结果①258例急性脑梗患者脑动脉狭窄的分布情况:其中前循环动脉病变共188例(72.9%),后循环动脉病变共70例(27.1%),其中以单侧动脉狭窄为主共207例(80.2%)。②多因素Logistic回归分析显示,吸烟(OR=4.361,95%CI 3.025~5.184,P=0.001)、收缩压(OR=9.763,95%CI 8.637~15.523,P=0.000)、尿酸(OR=2.384,95%CI 6.325~10.658,P=0.021)是脑动脉狭窄形成的独立危险因素,其他的影响因素经多因素分析两组比较均无统计学意义(P均0.05)。结论①急性脑梗死患者脑动脉狭窄以前循环动脉狭窄概率大,其中以单侧动脉狭窄为主;②吸烟、收缩压、血尿酸水平可影响脑动脉狭窄的形成。
[Abstract]:Objective to investigate the distribution and influencing factors of cerebral artery stenosis in patients with acute cerebral infarction. Methods Clinical data of 258 patients with acute cerebral artery stenosis were analyzed retrospectively. Logistic regression method was used. Results the distribution of cerebral artery stenosis in 1258 patients with acute cerebral infarction was analyzed. There were 70 cases with posterior circulatory artery disease, among which 207 cases were mainly unilateral artery stenosis and 80.22.Multivariate Logistic regression analysis showed. CI 3.025 / 5.184P = 0.001g / L, and systolic pressure = 9.763 (P = 9.763). 95 CI 8.637 (15.523) Pu 0.000, uric acid 2.384 (95 CI 6.32510. 658). PHO0.021) is an independent risk factor for the formation of cerebral artery stenosis. Other influencing factors were not statistically significant in the two groups by multivariate analysis (P < 0.05). Conclusion 1 the probability of anterior circulation artery stenosis in patients with acute cerebral infarction is high. Unilateral artery stenosis was the main one. 2 smoking, systolic blood pressure, serum uric acid level may affect the formation of cerebral artery stenosis.
【作者单位】：梧州市工人医院神经内科;
【分类号】：R743.33
【正文快照】： 脑动脉粥样硬化性狭窄是导致急性缺血性脑血管疾病的主要原因和最主要的病变,如在早期发现动脉病变并给予介入治疗可明显降低脑卒中的发病率〔1〕,随着影像诊断技术的不断发展,尤其是近年来数字减影血管造影(DSA)在临床上的广泛应用,使得脑动脉狭窄的诊断率不断提高,大量脑动

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