摘要
目的探讨老年人腔隙性脑梗死的相关危险因素、临床表现及影像学表现。方法选取我院确诊的56例腔隙性脑梗死患者为研究对象,同时选取50例非腔隙性脑梗死患者作为对照组,将两组临床表现及相应检查结果进行整理以展开对比性分析。率的比较采用卡方检验,以P<0.05为差异有统计学意义。结果老年人腔隙性脑梗死随着年龄增长发病率上升,且以男性居多;其重要危险因素是高血压、颈部动脉斑块;临床表现多轻微或以非特异性症状为首发表现;影像学表现病灶分布以基底节居多。结论老年人腔隙性脑梗死临床表现不典型,且对于认知功能减退亦是重要因素,如可对一些高发人群进行早期干预,可以提高临床疗效及改善生活。
Objective Explore the risk factors associated with elderly lacunar infarction, clinical manifesta- tions and imaging findings. Method 56 cases of patients with lacunar infarction diagnosed in our hospital are randomly selected for the study, while 50 cases of non - selected patients with lacunar infaction as the control grou. We collate the clinical manifestations and relevant findings and expand comparative analysis. Rates are com- pared using chi - square test, P less than 0.05 is considered to have statistical significance. Results Elderly lacu-nar infarction incidence with age and the men account for the majority. Its important risk factors are high blood pressure and carotid artery palques. Clinical manifestations are mild or non - specific symptoms as the first mani- festation. Imaging findings show lesions mostly in the basal ganglia. Conclusion Clinical manifestations of elder- ly lacunar infarction are not typical, easy to ignore, and lacunar infarction is aslo important factors for impairment of cognitive function. If early intervention is done for high - risk groups, the clinical efficacy and the lives can be improved.
出处
《内蒙古医学杂志》
2016年第11期1305-1308,共4页
Inner Mongolia Medical Journal
