摘要
目的探讨急性后循环缺血(PCI)性事件的相关危险因素,分析其病变血管及预后。方法对240例急性后循环缺血患者的临床资料进行回顾性分析,分为短暂性脑缺血发作(TIA)组及脑梗死患者组各120例。比较分析两组的危险因素、病变血管及预后资料。结果240例患者中存在血管病变者占64.58%(155例),病变血管最常见于椎动脉颅内段,部分患者同时存在前后循环血管病变。脑梗死患者发病年龄更倾向于老龄化(P<0.05),其它危险因素两组间略有差异,但无统计学意义。TIA组患者较脑梗死组预后更好,差异有统计学意义(P<0.05)。结论对于PCI患者应积极控制危险因素,血管影像学评估病变血管有积极意义。TIA较脑梗死患者预后更好。
Objective To discuss the related risk factors of posterior circulation ischemia （PIC） and its prognosis, Methods The clinical data of 240 cases of acute ischemia in patients were collected and analyzed respedivel. Half of them were identified with transient ischemic attack （TIA）, and the rest with cerebral infarction. Risk factors, lesion vessels and prognosis in the two group were compared. Results The presence of vascular disease accounted for 64.58% （155 cases） in 240 cases. Some patients had anterior and posterior circulation vascular disease at the same time. Patients with cerebral infarction tended to elderly age（P〈0.05）. Other risk factors had slight differences, but there was no statistical significance. The most common lesion vessels were in vertebral artery intracranial semgent. The prognosis of patients with TIA was better （P〈0.05）. Conclusion For PCI patients we should actively control risk factors. Vascular imaging lesion vessels have positive significance in patients with PCI. The prognosis of patients with TIA was better.
出处
《中国城乡企业卫生》
2016年第9期133-136,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
短暂性脑缺血发作
脑梗死
后循环系统
危险因素
缺血耐受
Transient ischemic attack
Cerebral infarction
Posterior circulation
Risk factor
Ischemic tolerance
