摘要
目的探讨脑血管病(cerebral vascular disease,CVD)患者的颅内外动脉狭窄情况及其与CVD危险因素和发病率的关系。方法对160例CVD患者行数字减影血管造影(DSA)检测,对颅内外动脉血管的狭窄发生率、狭窄程度、分布特点和危险因素进行统计分析。结果 CVD患者颅内外动脉狭窄的发生率为65%,中、老年组的中重度狭窄的比率明显高于青年组;伴高血压和糖尿病的患者多分布在颅内动脉狭窄组,而伴高血脂和吸烟的患者多分布在颅外动脉狭窄组患者中;中、重度血管狭窄组的脑梗死和TIA的发病率高于脑出血组(P<0.05)。结论高血压、糖尿病、高脂血症和吸烟易导致颅内外动脉狭窄,而后者是CVD发病的重要因素之一;随血管狭窄程度的增加CVD的发病率升高。
Objective To explore the intracranial and extracranial arteriostenosis and its relations to the cerebrovascular diseases.Methods The digital subtraction angiography（DSA） was performed in 160 CVD patients.The incidence,the degree,the distribution and risk factors of intracranial and extracranial arteriostenosis were evaluated by statistical analysis.Results The prevalence of cranial artery stenosis in CVD group was 65%,hypertension and diabetes mellitus had the significant relations with intra cranial artery stenosis（P0.05） while hyperlipemia and smoking were found more in patients with extracranial arteriostenosis （P0.05）;The occurrence of ischemic infarct and TIA with middle-severe vascular stenosis was higher than that of intracerebral hemorrhage.Conclusion Hypertension,diabetes mellitus,smoking and hyperlipemia can easily lead to cerebral artery stenosis,however the latter is one of the important factors of CVD;the stroke occurrence is higher along with the increase of artery stenosis degree.
出处
《中华全科医学》
2010年第10期1266-1267,共2页
Chinese Journal of General Practice
关键词
颅内外动脉狭窄
脑血管病
数字减影血管造影
危险因素
Intracranial and extracranial arteriostenosis
Cerebrovascular disease
Digital subtraction angiography
Risk factors
