中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
29期
129-131
,共3页
曹利民%李红琴%王洪生%胡志诚
曹利民%李紅琴%王洪生%鬍誌誠
조이민%리홍금%왕홍생%호지성
后循环缺血%TIA%脑梗死%椎动脉优势%ABCD2评分
後循環缺血%TIA%腦梗死%椎動脈優勢%ABCD2評分
후순배결혈%TIA%뇌경사%추동맥우세%ABCD2평분
Posterior circulation ischemia%Transient ischemic attack%Cerebral infarct%Vertebral artery dominance%ABCD2 score
目的：研究椎动脉优势对后循环短暂脑缺血发作患者近期预后的影响。方法以2012年1月~2013年10月住院治疗被确诊为后循环短暂性脑缺血发作(transient ischemic attack，TIA)的患者120例为研究对象，收集其椎动脉MRA、临床资料ABCD2评分及7 d内脑梗死发生率，比较其差异性。结果后循环TIA中椎动脉优势占有率高于非椎动脉优势；ABCD2评分分层院从低危组到中危组到高危组脑梗死发生率呈上升趋势；TIA后7 d内脑梗死发生率椎动脉优势组较非椎动脉优势组有显著性差异(孕<0.05)；ABCD2评分<4分，脑梗死发生率椎动脉优势组与非椎动脉优势组比较，无显著性差异(P>0.05)；ABCD2评分≥4分，脑梗死发生率椎动脉优势组较非椎动脉优势组有显著性差异(P<0.05)。结论椎动脉优势为导致后循环TIA后脑梗死的危险因素之一；ABCD2评分中高危患者椎动脉优势的风险尤为明显。
目的：研究椎動脈優勢對後循環短暫腦缺血髮作患者近期預後的影響。方法以2012年1月~2013年10月住院治療被確診為後循環短暫性腦缺血髮作(transient ischemic attack，TIA)的患者120例為研究對象，收集其椎動脈MRA、臨床資料ABCD2評分及7 d內腦梗死髮生率，比較其差異性。結果後循環TIA中椎動脈優勢佔有率高于非椎動脈優勢；ABCD2評分分層院從低危組到中危組到高危組腦梗死髮生率呈上升趨勢；TIA後7 d內腦梗死髮生率椎動脈優勢組較非椎動脈優勢組有顯著性差異(孕<0.05)；ABCD2評分<4分，腦梗死髮生率椎動脈優勢組與非椎動脈優勢組比較，無顯著性差異(P>0.05)；ABCD2評分≥4分，腦梗死髮生率椎動脈優勢組較非椎動脈優勢組有顯著性差異(P<0.05)。結論椎動脈優勢為導緻後循環TIA後腦梗死的危險因素之一；ABCD2評分中高危患者椎動脈優勢的風險尤為明顯。
목적：연구추동맥우세대후순배단잠뇌결혈발작환자근기예후적영향。방법이2012년1월~2013년10월주원치료피학진위후순배단잠성뇌결혈발작(transient ischemic attack，TIA)적환자120례위연구대상，수집기추동맥MRA、림상자료ABCD2평분급7 d내뇌경사발생솔，비교기차이성。결과후순배TIA중추동맥우세점유솔고우비추동맥우세；ABCD2평분분층원종저위조도중위조도고위조뇌경사발생솔정상승추세；TIA후7 d내뇌경사발생솔추동맥우세조교비추동맥우세조유현저성차이(잉<0.05)；ABCD2평분<4분，뇌경사발생솔추동맥우세조여비추동맥우세조비교，무현저성차이(P>0.05)；ABCD2평분≥4분，뇌경사발생솔추동맥우세조교비추동맥우세조유현저성차이(P<0.05)。결론추동맥우세위도치후순배TIA후뇌경사적위험인소지일；ABCD2평분중고위환자추동맥우세적풍험우위명현。
Objective To research the recent prognosis of vertebral artery dominance in patients with posterior circula-tion transient ischemic attack. Methods All 120 patients were diagnosed with posterior circulation transient ischemic attack from January 2012 to October 2013 hospitalization, collected the vertebral artery MRA, clinical data ABCD2 score, the incidence of cerebral infarction within 7 days with the patients, and compared the differences. Results The share of vertebral artery dominance was higher than non-vertebral artery dominance in the posterior circulation TIA. According to ABCD2 score stratification, the incidence of cerebral infarction was rising from low-risk group to the risk group to the high-risk group. 7 days after TIA, the incidence of cerebral infarction in group with the vertebral artery dominant compared with the non-vertebral artery dominance had significant difference (P<0.05). If ABCD2 score<4 points, there was no significant difference in incidence of cerebral infarction between the group with vertebral artery dominant and non-vertebral artery dominance (P>0.05). If ABCD2≥ four points, the result was opposite (P<0.05). Conclusion The vertebral artery dominance is one of the risk factors for cerebral infarction to the patient with posterior circulation TIA. ABCD2 score in the high-risk patients'risk of vertebral artery advantage is particularly evident.
