摘要
目的分析皮质下小梗死(SSI)与大动脉粥样硬化的相关性,提高对SSI病因的认识。方法连续收集150例急性SSI患者,按照TOAST进行卒中分型,分为大动脉组(A组)、小动脉组(B组)及其他;比较A、B两组在发生几率、血管性危险因素、临床治疗过程稳定性及复发机率的差异。结果 150例SSI患者中大动脉病变37例;A组和B组在血管危险因素、短期内临床病情波动方面无明显差别,A组病变短期内复发概率较B组高(P<0.05)。结论 SSI患者的病因并非相同,以小动脉病变居多;大动脉病变导致的SSI患者再次卒中概率高。
Objective To analyze the association between small subcortical infarction(SSI)and the artery disease,and to improve the awareness of SSI.Methods A total of 150patients with SSI admitted to hospital were assorted by TOAST.The patients were divided into atherosclerosis(A group),small artery disease(B group)and others according to the TOAST classification system.The frequencies of SSIs,their vascular risk factors,stablity of clinical courses,recurrence of different group were compared.Results Among 150patients with SSI,37were caused by atherosclerosis.There was no statistical differences of risk factors,stablity of clinical courses between group A and group B.The recurrence rate was higher in group of atherosclerosis than the group of small-artery diseases.Conclusions SSIs are caused by different etiologies but mainly small-artery diseases.The rate of recurrence is higher in patients SSI caused by atherosclerosis.
出处
《慢性病学杂志》
2013年第1期25-28,共4页
Chronic Pathematology Journal
基金
太仓市"522"人才工程资助项目(TS1113)
关键词
脑梗死
动脉粥样硬化
小动脉硬化
复发
Brain infarction
Atherosclerosis
Arteriolosclerosis
Recurrence