急性基底动脉闭塞所致脑梗死的起病特征与病变部位的相关性

发布时间：2018-02-27 00:15

本文关键词： 基底动脉闭塞脑梗死起病特征病变部位　出处：《医学研究生学报》2017年05期 　论文类型：期刊论文

【摘要】：目的基底动脉闭塞所致脑梗死的临床表现错综复杂。文中旨在探讨其起病特征与病变部位的相关性。方法纳入南京市卒中注册系统中2007年1月至2016年7月在南京总医院住院治疗的53例首发急性基底动脉闭塞所致后循环梗死患者的临床资料,根据起病形式将患者分为急进型组及缓慢进展组,结合脑血管造影结果进行回顾性分析。结果急进型组血管闭塞部位多位于基底动脉中段及上段,缓慢进展组则多为基底动脉下段。组间比较差异有统计学意义(P0.05)。Logistic回归分析结果显示,与基底动脉上段闭塞患者相比,下段闭塞患者的起病方式更倾向于缓慢进展型(OR=14.77,95%CI:1.57~139.00,P=0.019)。结论急性基底动脉闭塞所致脑梗死的起病特征与病变部位具有相关性。早期诊断、及时治疗有助于改善患者的临床预后。
[Abstract]:Objective clinical manifestations of basilar artery occlusion caused by cerebral infarction. The correlation between the onset of perplexing characteristics and lesion location. This article aims to approach into the stroke registry system in Nanjing city in January 2007 to July 2016 53 cases of hospitalized patients with first acute cerebral infarction basilar arterial occlusion after the clinical data in the general hospital of Nanjing, according to the onset of the disease patients divided into progressive group and slow group, combined with cerebral angiography were analyzed retrospectively. Results the level of group type vascular occlusion site located in the middle and upper basilar artery, slow development group for basilar artery segments. There were significant differences between the groups (P0.05) and.Logistic regression analysis showed that compared with the the upper basilar artery occlusion, lower segment occlusion onset tend to slow the progression of type (OR=14.77,95%CI:1.57~139.00, P= 0.019). Conclusion the onset characteristics of cerebral infarction caused by acute basilar artery occlusion are correlated with the location of the lesion. Early diagnosis and timely treatment can help to improve the prognosis of patients.

【作者单位】：南方医科大学金陵医院(南京军区南京总医院)神经内科;云南省德宏州人民医院神经内科;
【基金】：国家自然科学基金(81671170、81601036、81501027)
【分类号】：R743.33

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