CAJ | 학술논문

目的了解中山市住院缺血性脑卒中患者临床分型的亚型分布,为脑卒中预防、治疗方法的选择、预后评估提供参考依据.方法按CISS分型对中山市人民医院133例出院的缺血性脑卒中患者进行病因及发病机制分型.结果中山市人民医院缺血性脑卒中的病因中大动脉粥样硬化性占62.4％,大动脉粥样硬化性是主要病因,与其他病因相比具有统计学差异(P＜0.05)；大动脉粥样硬化脑梗死发病机制中载体动脉阻塞穿支动脉占50.6％,为主要发病机制,与其他发病机制相比,差异具有统计学意义(P＜0.05).结论大动脉粥样硬化依然是最主要的病因,其次为穿支动脉疾病,心源性并不少见.以载体动脉阻塞穿支动脉为主要的发病机制.高血压、吸烟、高血脂是最常见的危险因素,需重视加强高血压病管理及注意筛查糖尿病.
목적 료해중산시주원결혈성뇌졸중환자림상분형적아형분포,위뇌졸중예방、치료방법적선택、예후평고제공삼고의거.방법 안CISS분형대중산시인민의원133례출원적결혈성뇌졸중환자진행병인급발병궤제분형.결과 중산시인민의원결혈성뇌졸중적병인중대동맥죽양경화성점62.4％,대동맥죽양경화성시주요병인,여기타병인상비구유통계학차이(P＜0.05)；대동맥죽양경화뇌경사발병궤제중재체동맥조새천지동맥점50.6％,위주요발병궤제,여기타발병궤제상비,차이구유통계학의의(P＜0.05).결론 대동맥죽양경화의연시최주요적병인,기차위천지동맥질병,심원성병불소견.이재체동맥조새천지동맥위주요적발병궤제.고혈압、흡연、고혈지시최상견적위험인소,수중시가강고혈압병관리급주의사사당뇨병.
Objective To provide some references for preventing,treating,and assessing ischemic stroke analyzing the distribution of the subtypes of ischemic stroke in admitted patients in Zhongshan.Mehtods 133 patients with ischemic stroke from Zhongshan People' s Hospital were etiologically and pathogeneticly typed in term of CISS classification.Results Main artery atherosclerosis is the main etiology causing ischemic stroke,accounting for 62.4％; there were statistical differences between it and other etiologies(P ＜ 0.05).Parent artery occluding penetrating artery was the main pathogenesis for main artery atherosclerosis,accounting for 50.6％; there were statistical differences between it and other pathogenesis(P ＜ 0.05).Conclusions Main artery atherosclerosis still is the main etiology of ischemic stroke,following by penetrating artery disease,and cardioembolism ischemic stroke is not rare.Parent artery occluding penetrating artery is an important pathogenesis.Hypertension,smoking,and hyperlipidemia are the most common risk factors.Hypertension management and diabetes screening should be carried out.