中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2011年
2期
155-158
,共4页
刘朝来%朱双根%岳炫烨%范进%王启章%陈茂刚%孙文%姜永军%徐格林%刘新峰
劉朝來%硃雙根%嶽炫燁%範進%王啟章%陳茂剛%孫文%薑永軍%徐格林%劉新峰
류조래%주쌍근%악현엽%범진%왕계장%진무강%손문%강영군%서격림%류신봉
脑梗死%短暂性脑缺血发作%颈内动脉%血管折曲
腦梗死%短暫性腦缺血髮作%頸內動脈%血管摺麯
뇌경사%단잠성뇌결혈발작%경내동맥%혈관절곡
Cerebral infarction%Transient ischemic attack%Carotid artery%Kinking
目的 探讨缺血性脑血管病患者颈内动脉颅外段血管折曲的影响因素. 方法 选择行DSA检查的334例缺血性脑血管病患者,根据颈内动脉颅外段血管走行分为血管折曲组(血管成角小于90°定义为血管折曲,110例)和血管无折曲组(血管成角大于90°或盘曲成环状定义为血管无折曲,224例),根据患者年龄分为青年组(18～45岁)、中年组(46～64岁)和老年组(≥65岁).对于可能影响患者颈内动脉颅外段血管折曲的影响因素,如性别、年龄、身高、颈动脉狭窄程度和脑血管病危险因素等进行统计学分析. 结果 单因素分析发现,患者年龄、高血压病史、吸烟史、酗酒史、身高、性别比例在血管折曲组和血管无折曲组中差异有统计学意义(P＜0.05);logistic回归分析显示,高血压病史(OR=2.546,95%CI:1.376～4.712,P=0.003)、年龄(以18～45岁为参照组,46～64岁组OR=2.610,95%CI:1.056～6.452,P=0.038;≥65岁组OR=2.929,95%CI:1.159～7.401,P=0.023)与患者颈内动脉颅外段血管折曲有明显相关性. 结论 高血压病史和年龄是缺血性脑血管病患者颈内动脉颅外段血管折曲的重要影响因素.
目的 探討缺血性腦血管病患者頸內動脈顱外段血管摺麯的影響因素. 方法 選擇行DSA檢查的334例缺血性腦血管病患者,根據頸內動脈顱外段血管走行分為血管摺麯組(血管成角小于90°定義為血管摺麯,110例)和血管無摺麯組(血管成角大于90°或盤麯成環狀定義為血管無摺麯,224例),根據患者年齡分為青年組(18～45歲)、中年組(46～64歲)和老年組(≥65歲).對于可能影響患者頸內動脈顱外段血管摺麯的影響因素,如性彆、年齡、身高、頸動脈狹窄程度和腦血管病危險因素等進行統計學分析. 結果 單因素分析髮現,患者年齡、高血壓病史、吸煙史、酗酒史、身高、性彆比例在血管摺麯組和血管無摺麯組中差異有統計學意義(P＜0.05);logistic迴歸分析顯示,高血壓病史(OR=2.546,95%CI:1.376～4.712,P=0.003)、年齡(以18～45歲為參照組,46～64歲組OR=2.610,95%CI:1.056～6.452,P=0.038;≥65歲組OR=2.929,95%CI:1.159～7.401,P=0.023)與患者頸內動脈顱外段血管摺麯有明顯相關性. 結論 高血壓病史和年齡是缺血性腦血管病患者頸內動脈顱外段血管摺麯的重要影響因素.
목적 탐토결혈성뇌혈관병환자경내동맥로외단혈관절곡적영향인소. 방법 선택행DSA검사적334례결혈성뇌혈관병환자,근거경내동맥로외단혈관주행분위혈관절곡조(혈관성각소우90°정의위혈관절곡,110례)화혈관무절곡조(혈관성각대우90°혹반곡성배상정의위혈관무절곡,224례),근거환자년령분위청년조(18～45세)、중년조(46～64세)화노년조(≥65세).대우가능영향환자경내동맥로외단혈관절곡적영향인소,여성별、년령、신고、경동맥협착정도화뇌혈관병위험인소등진행통계학분석. 결과 단인소분석발현,환자년령、고혈압병사、흡연사、후주사、신고、성별비례재혈관절곡조화혈관무절곡조중차이유통계학의의(P＜0.05);logistic회귀분석현시,고혈압병사(OR=2.546,95%CI:1.376～4.712,P=0.003)、년령(이18～45세위삼조조,46～64세조OR=2.610,95%CI:1.056～6.452,P=0.038;≥65세조OR=2.929,95%CI:1.159～7.401,P=0.023)여환자경내동맥로외단혈관절곡유명현상관성. 결론 고혈압병사화년령시결혈성뇌혈관병환자경내동맥로외단혈관절곡적중요영향인소.
Objective To investigate the influencing factors of kinking of extracranial internal carotid artery (EICA) in patients with transient ischemic attack. Methods Three hundred and thirty-four patients with ischemic cerebrovascular disease performed digital subtraction angiography (DSA) were chosen; they were divided into 2 groups according to vascular morphology through DSA detection: kinking group (angulation smaller than 90°, n=110) and non-kinking group (angulation larger than 90°, n=224). According to the age, the patients were divided into youth group (18-45 years old),middle age group (46-64 years old) and elderly group (older than 65 years old). The influencing factors which may be related to the kinking of EICA, including gender, age, height and stenosis degree, and the risk factors for cerebrovascular diseases were statistically analyzed. Results Univariate analysis found that the kinking group and non-kinking group on the ratio of age, gender, height, and histories of hypertension, smoking and drinking were significantly different (P＜0.05). Multiple logistic regression analysis showed that the kinking of EICA was obviously correlated to the history of hypertension (OR=2.546, 95% CI: 1.376-4.712, P=0.003) and age (taking youth group as reference group, middle age group:OR=2.610, 95% CI: 1.056-6.452, P=0.038, elderly group: OR=2.929, 95% CI: 1.159-7.401, P=0.023).Conclusion The history of hypertension and age are identified as independent predictors for kinking of EICA in patients with ischemic cerebrovascular diseases.
