摘要
目的探讨椎动脉优势与后循环血管供应部位脑梗死的相关性及其后循环脑梗死的危险因素分析。方法选取保定市第一医院住院治疗符合本研究标准的急性脑梗死患者。回顾性分析所收集患者的性别、年龄、高血压、糖尿病、高脂血症、高同型半胱氨酸血症、既往短暂性脑缺血发作(TIA)史等资料,研究后循环脑梗死患者与椎动脉优势的相关性,应用Logistic回归分析得出后循环脑梗死的独立危险因素。结果椎动脉优势是后循环脑梗死发生的危险因素,且椎动脉优势组中基底动脉(BA)分区及小脑后动脉(PICA)分区的梗死发生率明显高于对照组。椎动脉优势、高同型半胱氨酸血症、既往TIA史均是后循环脑梗死的独立危险因素。结论椎动脉优势患者更易发生后循环PICA区和BA供血区梗死。有效防治高同型半胱氨酸血症以及TIA发作,对改善后循环脑梗死复发可能具有一定意义。
Objective To investigate the relationship between vertebral artery dominance and posterior circulation cerebral infarction and analyze the risk factors of posterior circulation ischemic stroke. Methods The patients with acute cerebral infarction who were hospitalized in the first hospital of Baoding in accordance with the criteria of this study were selected. The clinical data such as gender,age,hypertension,diabetes,hyperlipidemia,high homocysteine levels disease,history of transient ischemic attack（ TIA） were retrospectively analyzed. The relationship between posterior circulation cerebral infarction patients and vertebral artery dominance was studied,and Logistic regression analysis was used to analyze the independent risk factors of cerebral infarction in posterior circulation. Results Vertebral artery dominance was the risk factor of posterior circulation cerebral infarction,and the incidence of infarction in the basilar artery（ BA） and posterior cerebellar artery（ PICA） in the superior group was significantly higher than that in the control group. Vertebral artery dominance,high homocysteine,and TIA history were independent risk factors for posterior circulation cerebral infarction.Conclusion Patients with vertebral artery dominance are more likely to have infarction at the PICA region and the BA blood supply area. Effective prevention and treatment of homocysteine and TIA attack may have certain significance to improve the recurrence of posterior cerebral infarction.
出处
《临床医学》
CAS
2017年第1期1-4,共4页
Clinical Medicine
关键词
椎动脉优势
后循环脑梗死
危险因素
Vertebral artery dominance
Posterior circulation cerebral infarction
Risk factor
