摘要
目的:探讨颈动脉狭窄导致眼部缺血的机理。方法:选取经彩色多普勒及DSA检查明确诊断的颈动脉狭窄病人40例(男性30例,女性10例),并通过眼部检查、眼底荧光素血管造影检查分为眼缺血组(9例)、非眼缺血组(31例),采用logistic回归方法分析年龄、高血压、糖尿病、吸烟、饮酒史及眼动脉侧支循环开放等因素对颈动脉狭窄致眼部缺血性疾病的影响。结果:通过Logistic回归分析,发现眼缺血组和眼非缺血组两组在年龄、高血压、糖尿病、吸烟及饮酒史方面无统计学差异(P>0.05);两组间性别、有无侧支循环有统计学差异(P<0.05),其中女性、眼动脉侧支循环未开放为眼缺血的危险因素。结论:年龄、高血压、糖尿病、吸烟及饮酒史等因素和颈动脉狭窄所致的眼缺血性疾病无相关,女性、侧支循环未开放为眼缺血的危险因素,其中是否有眼动脉侧支循环开放是颈动脉狭窄致眼缺血重要原因。
Objective：To explore the mechanism of carotid artery stenosis caused eye ischemia. Methods：40 patients diagnosed as carotid stenosis by color doppler and DSA carotid artery stenosis were divided in ocular ischemic group（9 patients）and ocular inischemic group （31 patients）by eye examination and FFA. The relationship between the risk factor of carotid artery stenosis and ocular ischemic diseases were analysised by Logistic regression. Results：Logistic regression analysise showed that there were no difference in the result between the risk factor such as hypertension, diabetes, smoking, drinking and ocular ischemic group and ocular inischemic group（ P〉0.05 ） respectively. There were difference in the result of sex and without collateral circulation in ocular ischemic group and ocular inischemic group （P 〈 0.05 ）. Conclusion： There was no correlation between hypertension, diabetes, smoking, drinking and ocular ischemic diseases. Ophthalmic artery collateral circulation is the most important reason without carotid artery stenosis.
出处
《内蒙古医学院学报》
2012年第S7期894-898,共5页
Acta Academiae Medicinae Neimongol
关键词
颈动脉狭窄
眼缺血性疾病
carotid artery stenosis
ocular ischemic diseases
