颅内段与颅外段双侧椎动脉狭窄临床特征差异分析被引量：4

下载PDF

导出

摘要目的分析颅内段与颅外段双侧椎动脉狭窄患者危险因素、后循环缺血表现、梗死区域及预后的差异。方法收集双侧椎动脉狭窄≥50%或闭塞的住院患者129例,根据椎动脉病变部位分为颅内组44例、颅外组85例,依据后循环缺血表现分为无症状、TIA、TIA后卒中、卒中,梗死部位分为近端、中部、远端、多发性梗死,采用出院改良Rankin(mRS)评分评价预后,比较颅内组和颅外组脑血管病危险因素、缺血表现、梗死区域、mRS评分的差异。结果颅内组年龄低于颅外组,高血压患者比例高于颅外组(P均<0.05),两组缺血临床表现构成比、梗死区域构成比差异有统计学意义(P均<0.05),两组mRS评分比较差异无统计学意义(P>0.05)。结论颅内段双侧椎动脉狭窄患者年龄低于颅外段,且易并发高血压,颅内段与颅外段双侧推动脉狭窄的后循环缺血表现和梗死区不同,二者预后无显著差别。

作者张晶晶白雪

机构地区赤峰市医院

出处《山东医药》 CAS 北大核心 2016年第21期72-73,共2页 Shandong Medical Journal

关键词椎动脉狭窄危险因素梗死区域

分类号 R743 [医药卫生—神经病学与精神病学]

引文网络
相关文献

参考文献7

1Caplan LR,Wityk RJ,Pazdera L,et al.New England Medical Center posterior circulation stroke registryⅡ.Vascular Lesions[J].J Clin Neurol,2005,1(1):31-49.
2Khan S,Cloud GC,Kerry S,et al.Imaging of vertebral artery stenosis:a systematic review[J].J Neurol Neurosurg Psychiatry,2007,78(11):1218-1225.
3Kim JS,Nah HW,Park SM,et al.Risk factors and stroke mechanisms in atherosclerotic stroke intracranial compared with extracranial and anterior compared with posterior circulation disease[J].Stroke,2012,43(12):3313-3318.
4赵红梅,陈茂刚,樊新颖,王筱萌,朱武生,刘新峰,徐格林.脑缺血患者血管狭窄分布及其危险因素：回顾性病例系列研究[J].国际脑血管病杂志,2012,20(10):745-750. 被引量：10
5刘冉,邢海英,彭清,殷宇慧,孙葳.彩色多普勒超声检查对椎动脉狭窄与发育不良的鉴别诊断价值[J].山东医药,2013,53(41):67-69. 被引量：7
6李斗,王默力,李慎茂,凌锋.缺血性脑血管病患者脑动脉狭窄的分布特征及其危险因素分析[J].中华医学杂志,2008,88(17):1158-1162. 被引量：44
7Ding X,Li C,Yu K,et al.Different risk factors between intracranial and extracranial atherosclerotic stenosis in Asian population:a systematic review and meta-analysis[J].Int J Neurosci,2014,124(11):834-840.

二级参考文献56

1刘斌,张晋霞,陈桂华,徐应军,臧贺川,刘昊.脑梗死患者颈动脉颅外段狭窄危险因素分析[J].脑与神经疾病杂志,2004,12(6):404-406. 被引量：19
2冯烈,徐安定,李洁.经颅多普勒超声对糖尿病患者脑血管病变的诊断价值[J].中华内分泌代谢杂志,1994,10(2):86-88. 被引量：116
3裴咏桢,徐格林,朱武生,刘新峰.缺血性脑血管病患者颅内外动脉狭窄的年龄分布特征[J].医学研究生学报,2006,19(5):442-445. 被引量：23
4Caplan LR, Gorelick PB, Hier DB. Race, sex and occlusive cerebrovascular disease: a review. Stroke, 1986, 17 : 648-655.
5Sacco RL, Kargman DE, Qiong Gu, et al. Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction the northern manhattan stroke study. Stroke, 1995, 26: 14-20.
6Inzitari D, Hachinski VC, Taylor DW. Racial differences in the anterior circulation in cerebrovascular disease: how much can be explained by risk factors? Arch Neurol, 1990, 47 : 1080-1084.
7Wityk R J, Lehman D, Klag M, et al. Race and sex differences in the distribution of cerebral atherosclerosis. Stroke, 1996, 27 : 1974-1980.
8Feldmann E, Daneault N, Kwan E, et al. Chinese-white differences in the distribution of occlusive cerebrovascular disease. Neurology, 1990, 40 : 1541-1545.
9Huang YN, Gao S, Li SW. Vascular lesions in Chinese patients with transient isehemie attacks. Neurology, 1997, 48: 524-525.
10Wong KS, Huang YN, Gao S, et al. Intracranial stenosis in Chinese patients with acute stroke. Neurology, 1998, 50 : 812-813.