摘要
目的探讨急性脑梗死TOAST分型与危险因素的关系。方法回顾性分析197例急性脑梗死患者的临床资料,经影像学及其他病因学检查确定诊断。依据急性卒中治疗Org10172试验(TOAST)分型标准,确定患者的病因分型,并分析危险因素在不同TOAST分型中的分布特点。结果 TOAST分型中,以小动脉闭塞型(SAO)和大动脉粥样硬化型(LAA)所占比例最高,分别为44.16%、37.56%。危险因素方面,高血压、高脂血症和糖尿病是SAO和LAA中暴露率最高的,分别为LAA:高脂血症55例(74.32%),高血压46例(62.16%),糖尿病31例(41.89%);SAO:高血压62例(71.26%),糖尿病53例(60.92%),高脂血症36例(41.38%)。结论急性脑梗死的TOAST分型中,以SAO和LAA卒中所占比例较高,危险因素以高血压、高脂血症和糖尿病的暴露率为高。
Objective To investigate the relationship of the TOAST classification of acute cerebral infarction and risk factors. Methods A retrospective analysis of 197 cases of acute cerebral infarction in patients with clinical examination to confirm the diagnosis by imaging and other causes. Based on the acute stroke the treatment Org10172 test （TOAST） classification criteria to determine the etiology of type and to analyze the distribution of risk factors in different TOAST classification. Results TOAST classification, the highest proportion of the SAO and LAA, respectively, 44. 16%, 37. 56%. Risk factors, hypertension, hyperlipidemia and diabetes mellitus are SAO and LAA exposure rate highest, respectively LAA： 55 cases of hyperlipemia （74. 32% ）, 46 cases of hypertension （62. 16% ）, 31 cases of diabetes mellitus （41.89%） ; SAO： 62 cases of hypertension （71.26%）, 53 cases of diabetes meUitus （60. 92% ）, 36 cases of hyperlipemia （41.38%）. Conclusion Acute cerebral infaretion with TOAST type, SAO and LAA stroke higher proportion, risk factors to hypertension, hyperlipidemia and diabetes exposure rate is high.
出处
《实用心脑肺血管病杂志》
2013年第2期51-52,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
脑梗死
危险因素
TOAST分型
Brain infarction
Risk factors
TOAST classification
