高同型半胱氨酸血症型高血压患者脑血管病变特点

发布时间：2018-03-05 18:34

本文选题：H型高血压　切入点：脑血管造影　出处：《临床神经病学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的比较脑梗死合并高同型半胱氨酸血症(HHcy)型高血压(H型高血压)及原发性高血压患者脑血管病变特点。方法检测258例脑梗死合并高血压患者的同型半胱氨酸(Hcy)水平,根据Hcy水平分为H型高血压组及高血压组。采用DSA检查患者的脑血管病变情况。结果 H型高血压组112例,高血压组146例。两组间性别、年龄、收缩压、舒张压,以及吸烟、饮酒史比率差异均无统计学意义(均P0.05)。两组均以颈内动脉(ICA)及大脑中动脉(MCA)受累多,以颅内血管狭窄病变为主。与高血压组比较,H型高血压组颅内血管病变及重度脑血管狭窄发生率显著增高,侧支循环比率显著降低(均P0.05)。结论脑梗死合并H型高血压患者血管狭窄较多,程度较重,且侧支代偿较少。
[Abstract]:Objective to compare the cerebral infarction with hyperhomocysteinemia (HHcy) hypertension (H type hypertension) and primary hypertension patients with cerebral vascular disease. Methods 258 cases of cerebral infarction patients with hypertension homocysteine (Hcy) levels, according to the Hcy level for the H type hypertension group and hypertension group. The cerebral vascular disease patients with DSA examination. Results H type hypertension group, 112 cases, 146 cases of hypertension group. Between the two groups in gender, age, systolic blood pressure, diastolic blood pressure, and smoking, drinking history ratio showed no significant difference (P0.05). The two groups are in the internal carotid artery (ICA) and middle cerebral artery (MCA) affected, with lesions of intracranial vascular stenosis. Compared with hypertension group, hypertension group H type of intracranial vascular lesions and severe cerebrovascular stenosis rate increased significantly, the collateral circulation ratio decreased significantly (P0.05). Conclusion H type hypertension complicated with cerebral infarction The patient has more stenosis, more severe degree, and less collateral compensatory.

【作者单位】：广西科技大学第一附属医院神经内科;
【分类号】：R544.1;R743

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