摘要
目的:对比分析前、后循环梗死的危险因素及临床特征。方法:回顾性分析109例,其中前循环梗死76例(ACI组),后循环梗死33例(PCI组)经MRI证实的急性脑梗死患者的临床资料,统计学分析主要危险因素暴露情况及临床特征。结果:通过分析两组梗死患者糖尿病、高脂血症等危险因素后发现,PCI组糖尿病发病率高于ACI组(P=0.000)。ACI组高脂血症发病率高于PCI组(P=0.000)。糖尿病是PCI的独立危险因素,而高脂血症是ACI的独立危险因素。比较两组患者空腹血糖等临床指标后发现,ACI组甘油三酯水平高于PCI组(P=0.000),而PCI组空腹血糖水平、随机血糖水平、中性粒细胞计数、中性粒细胞百分比均高于ACI组(P均<0.05)。结论:高脂血症、糖尿病分别为前、后循环梗死可能的独立危险因素,前循环梗死患者甘油三酯水平高于后循环梗死患者,而空腹血糖、随机血糖、中性粒细胞计数、中性粒细胞百分比则是后循环梗死患者较高。
Objective：To analyze the major risk factors and some clinical characteristics of anterior and posterior circulation infarction（ACI,PCI）.Methods：Clinical data of 109 patients with acute cerebral infarction（ACI 76,PCI 33）were statistically analyzed retrospectively.Results：By analyzing some major risk factors,such as diabetes mellitus,heart disease,hyperlipidaemia,previous stroke history and so on,we found that the incidence rate of diabetes mellitus of PCI group is significantly higher than ACI group（P=0.000）.The ACI group＇s hyperlipidemia incidence rate is significantly higher than the PCI group（P=0.000）.And the diabetes mellitus is the risk factor of PCI,hyperlipidaemia is the risk factor of ACI.By comparing some clinical indexes of two groups,we found that the average triglyceride level of ACI group is significantly higher than PCI group（P=0.000）.As for the average levels of fasting blood glucose,postprandial blood glucose,neutrophile granulocyte count and neutrophile granulocyte proportion,the PCI group is rather significantly higher than the another one（P〈0.05）.Conclusion：Hyperlipidemia is the independent risk factor of ACI,while the independent risk factor of PCI is diabetes mellitus.The level of triglyceride in ACI patients is higher than in PCI patients.While the levels of fasting blood glucose,postprandial blood glucose,neutrophile granulocyte count and neutrophile granulocyte proportion,they are higher in PCI patients than in ACI patients.
出处
《医学理论与实践》
2016年第22期3026-3029,共4页
The Journal of Medical Theory and Practice
基金
天津市卫计委科技基金(2015KZ022)
关键词
前、后循环梗死
危险因素
临床特征
Anterior and posterior circulation infarction
Risk factors
Clinical characteristics
