中华脑科疾病与康复杂志(电子版)
中華腦科疾病與康複雜誌(電子版)
중화뇌과질병여강복잡지(전자판)
CHINESE JOURNAL OF BRAIN DI8SEASES AND REHABILITATIN(ELECTRONIC EDITION)
2014年
3期
4-7
,共4页
吕志勤%黄一宁%刘旸%杨伟丽
呂誌勤%黃一寧%劉旸%楊偉麗
려지근%황일저%류양%양위려
脑梗死%小动脉硬化%危险因素
腦梗死%小動脈硬化%危險因素
뇌경사%소동맥경화%위험인소
Brain infarction%Arteriosclerosis%Risk factors
目的:通过分析腔隙性脑梗死( LI)患者眼底动脉硬化分级与部分脑动脉硬化危险因素变化之间的关系,为寻找监测方法提供依据。方法选择北京大学第一医院神经内科2012年6月至2014年2月间急性LI发病的住院患者151例,男105例,女46例,平均年龄(62.11±11.32)岁。分别接受神经影像、眼底照相、颈动脉超声检查,进行眼底动脉硬化分级,并同时测定血压、胆固醇三项、血糖、同型半胱氨酸等指标,资料分析通过SPSS 18.0统计软件完成。结果在受检的302只眼中,有动脉硬化改变的占96.03%,Ⅰ级占52.98%,Ⅱ、Ⅲ级分别为23.84%、19.21%。眼底动脉硬化分级与颈动脉内-中膜厚度、斑块面积、收缩压、LI病灶数、LI受累部位数之间存在较高相关性( r=0.222、0.260、0.214、0.332、0.221,均P<0.05),轻度硬化组和中重度组各项指标存在统计学差异( t/z=2.617、2.425、2.124、3.416、2.200,均P<0.05),同时血糖水平在两组中比较也有统计学意义( t=3.427,P=0.001)。结论眼底动脉硬化的程度与颅内其他血管相比具有一致性,其分级可以间接反映颅内血管病变程度,可以作为脑小血管变化的临床观察窗口。
目的:通過分析腔隙性腦梗死( LI)患者眼底動脈硬化分級與部分腦動脈硬化危險因素變化之間的關繫,為尋找鑑測方法提供依據。方法選擇北京大學第一醫院神經內科2012年6月至2014年2月間急性LI髮病的住院患者151例,男105例,女46例,平均年齡(62.11±11.32)歲。分彆接受神經影像、眼底照相、頸動脈超聲檢查,進行眼底動脈硬化分級,併同時測定血壓、膽固醇三項、血糖、同型半胱氨痠等指標,資料分析通過SPSS 18.0統計軟件完成。結果在受檢的302隻眼中,有動脈硬化改變的佔96.03%,Ⅰ級佔52.98%,Ⅱ、Ⅲ級分彆為23.84%、19.21%。眼底動脈硬化分級與頸動脈內-中膜厚度、斑塊麵積、收縮壓、LI病竈數、LI受纍部位數之間存在較高相關性( r=0.222、0.260、0.214、0.332、0.221,均P<0.05),輕度硬化組和中重度組各項指標存在統計學差異( t/z=2.617、2.425、2.124、3.416、2.200,均P<0.05),同時血糖水平在兩組中比較也有統計學意義( t=3.427,P=0.001)。結論眼底動脈硬化的程度與顱內其他血管相比具有一緻性,其分級可以間接反映顱內血管病變程度,可以作為腦小血管變化的臨床觀察窗口。
목적:통과분석강극성뇌경사( LI)환자안저동맥경화분급여부분뇌동맥경화위험인소변화지간적관계,위심조감측방법제공의거。방법선택북경대학제일의원신경내과2012년6월지2014년2월간급성LI발병적주원환자151례,남105례,녀46례,평균년령(62.11±11.32)세。분별접수신경영상、안저조상、경동맥초성검사,진행안저동맥경화분급,병동시측정혈압、담고순삼항、혈당、동형반광안산등지표,자료분석통과SPSS 18.0통계연건완성。결과재수검적302지안중,유동맥경화개변적점96.03%,Ⅰ급점52.98%,Ⅱ、Ⅲ급분별위23.84%、19.21%。안저동맥경화분급여경동맥내-중막후도、반괴면적、수축압、LI병조수、LI수루부위수지간존재교고상관성( r=0.222、0.260、0.214、0.332、0.221,균P<0.05),경도경화조화중중도조각항지표존재통계학차이( t/z=2.617、2.425、2.124、3.416、2.200,균P<0.05),동시혈당수평재량조중비교야유통계학의의( t=3.427,P=0.001)。결론안저동맥경화적정도여로내기타혈관상비구유일치성,기분급가이간접반영로내혈관병변정도,가이작위뇌소혈관변화적림상관찰창구。
Objective To explore an effective monitoring way of intracranial atherosclerosis and observe the correlation between the risk factors and retinal atherosclerotic classification .Methods One hundred and fifty-one hospitalized patients with lacunar infarct ( LI) from June 2012 to February 2014 were retrospectively analyzed,male 105,female 46,and mean age was(62.11 ±11.32)years.All patients were examined with CT/MRI, fundoscopy , color vascular ultrasonograph , laboratory tests , respectively .Retinal atherosclerotic grades were assessed , blood pressure, blood sugar, cholesterol, homocysteine and other indicators were measured .All data were dealt statistically via SPSS 18.0 software package .Results Data showed that incidence of retinal atherosclerosis was 96.03% in checked 302 eyes, retinal atherosclerotic grades were 52.98%, 23.84 , 19.21% in grade Ⅰ,Ⅱ,Ⅲ, and retinal atherosclerotic arteriole had significantly higher correlated with systolic blood pressure , intima-media thickness , carotid plaque area , LI foci,and LI suffered regions respectively(r=0.222,0.260,0.214,0.332,0.221,all P<0.05).The above indices including blood glucose had indicated remarkably differences between mild atherosclerotic group and severe one(t/z=2.617,2.425,2.124,3.416,2.200,all P<0.05).Conclusion Retinal atherosclerotic grade is well-coherent with intracranial atherosclerosis , which could be used as an effectively monitoring evaluation for pathological retinal arteriole .