摘要
目的:探讨缺血性脑血管病合并血脂异常患者全脑血管造影的特点及血脂与动脉狭窄的关系。方法:应用荷兰飞利浦公司生产的FD-20 C型臂血管造影系统,对206例缺血性脑血管病患者行全脑血管造影检查,比较血脂异常组和血脂正常组脑血管特点。结果:两组血管狭窄程度比较差异有统计学意义(χ2=4.27,P<0.05),其中异常组中重度狭窄和闭塞的患者明显多于对照组(χ2=4.65,P﹤0.05)。两组在弥漫性病变及侧支代偿情况差异均有统计学意义;虽然两组均以多支血管病变为主,但无统计学意义(χ2=0.07,P>0.05),且异常组(脂代谢紊乱组)以弥漫性血管病变和无侧支血管代偿为主,而对照组以非弥漫性血管病变和有侧支血管代偿为主。结论:缺血性脑血管病合并血脂异常患者全脑血管狭窄程度更重,常表现为多支血管病变、弥漫性血管病变并且侧支代偿少。
Objective To discuss angiographic characteristics of the patients with ischemic cerebrovascular disease combined dyslipi- demia and the relationship between lipids and brain artery stenosis. Method Use the FD - 20 C - arm angiography system produced by Philips company of Netherlands to conduct cerebral angiography on 206 patients with ischemic cerebrovascular disease to compare cerebro- vascular features of dyslipidemia group and lipid normal group. Results The differences of vascular stenosis in two groups were statistically significant（x^2 = 4. 27, P 〈 0.05 ）, and the patients with moderate to severe stenosis and occlusion in abnormal group was significantly more than the control group（x^2 = 4. 65, P 〈 0. 05 ）. The differences of diffuse lesions and collateral compensation in two groups were statistically significant; Although multi - vessel diseases were main in both groups, but the difference was not statistical significant （x^2 = 0. 07, P 〉 0. 05 ） , and diffuse lesions and non - collateral compensation were main in abnormal group （ lipid metabolism group） , while non - diffuse le- sions and collateral compensation had dominated in the control group. Conclusion The cerebral vascular stenosis of patients with ischemic cerebrovascular disease combined dyslipidemia is heavier, and usually manifested multi - vessel disease, diffuse lesions and less collateral compensations.
出处
《吉林医学》
CAS
2015年第14期2957-2959,共3页
Jilin Medical Journal
关键词
缺血性脑血管病
血脂
脑血管造影术
病例对照研究
Jschemic cerebrovascular disease
Lipids
Cerebral angiography
Case - control study
