摘要
目的分析急性脑梗死(ACI)合并脑微出血(CMBs)的流行病学及危险因素。方法 86例ACI患者采用MRI检测CMBs,分析CMBs发病率、部位、程度、危险因素。结果 ACI患者中CMBs发生率为47.7%,其中轻度CMBs占24.4%。CMBs组年龄≥60岁、高血压、高血脂、腔隙性脑梗死、高同型半胱氨酸血症、高尿酸血症和每天饮茶明显高于非CMBs组(P<0.05),其中高血压和高血脂是CMBs的独立危险因素(P<0.05)。结论 ACI合并轻度CMBs最常见,高血压和高血脂是CMBs的独立危险因素。
Objective To analyze the epidemiology and risk factors of cerebral microbleeds（CMBs） in acute ischemic stroke（ACI）. CMBs were determined by MRI in 86 patients with ACI. Morbidity, location, degree, and risk factors Methodsof CMBs were analyzed. Results Morbidity of CMBs was 47.7% in 86 ACI patients, with 24.4% of mild CMBs. Age ≥60 years, hypertension, hyperlipidemia, lacunar cerebral infarction, hyperhomocysteinemia, hyperuricemia, and daily tea drinking were higher in CMBs group than in non-CMBs group（P〈0.05）, of which hypertension and hyperlipidemia were independent risk factors for CMBs. Conclusion Mild CMBs is the most common in ACI patients, and hypertension and hyperlipidemia are independent risk factors for CMBs.
作者
苏观利
黎法文
SU Guan-li;LI Fa-wen(Department of Neurology,Lianjiang People＇s Hospital,Lianjiang 524400,China)
出处
《广东医科大学学报》
2018年第4期372-374,共3页
Journal of Guangdong Medical University
基金
湛江市科技计划项目(No.2016B101)
关键词
脑微出血
急性脑梗死
危险因素
流行病学
cerebral mierobleeds
acute cerebral infarction
risk factors
epidemiology
