中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
16期
34-36
,共3页
脑梗塞%脑缺血发作,短暂性%危险因素%脑微出血
腦梗塞%腦缺血髮作,短暫性%危險因素%腦微齣血
뇌경새%뇌결혈발작,단잠성%위험인소%뇌미출혈
Brain infarction%Ischemic attack,transient%Risk factors%Cerebral mild hemorrhage
目的 比较急性脑梗死(ACI)与短暂性脑缺血发作(TIA)患者脑微出血的危险因素及TOAST分型的差异.方法 选取40例伴有脑微出血患者,根据患者的病情分类分为ACI组(24例)和TIA组(16例).以年龄、血压和血脂等为危险因素,比较两组患者危险因素的差异;同时将两组患者分别进行TOAST亚型分类,比较两组患者TOAST分型的差异.结果 ACI组患者年龄(73.3±4.1)岁,伴有高血压和脑白质疏松症的患者比例分别为95.8％(23/24),70.8％(17/24),明显高于TIA组的(65.5±5.6)岁,13/16,9/16,差异有统计学意义(P＜0.05).ACI组大动脉粥样硬化性和心源性的患者所占比例分别为75.0％(18/24),16.7％(4/24),明显高于TIA组的8/16和1/16,差异有统计学意义(P＜ 0.05);ACI组小动脉闭塞性患者所占比例为8.3％(2/24),明显低于TIA组的7/16,差异有统计学意义(P＜0.05).结论 ACI和TIA患者脑微出血的相关危险因素存在差异性.
目的 比較急性腦梗死(ACI)與短暫性腦缺血髮作(TIA)患者腦微齣血的危險因素及TOAST分型的差異.方法 選取40例伴有腦微齣血患者,根據患者的病情分類分為ACI組(24例)和TIA組(16例).以年齡、血壓和血脂等為危險因素,比較兩組患者危險因素的差異;同時將兩組患者分彆進行TOAST亞型分類,比較兩組患者TOAST分型的差異.結果 ACI組患者年齡(73.3±4.1)歲,伴有高血壓和腦白質疏鬆癥的患者比例分彆為95.8％(23/24),70.8％(17/24),明顯高于TIA組的(65.5±5.6)歲,13/16,9/16,差異有統計學意義(P＜0.05).ACI組大動脈粥樣硬化性和心源性的患者所佔比例分彆為75.0％(18/24),16.7％(4/24),明顯高于TIA組的8/16和1/16,差異有統計學意義(P＜ 0.05);ACI組小動脈閉塞性患者所佔比例為8.3％(2/24),明顯低于TIA組的7/16,差異有統計學意義(P＜0.05).結論 ACI和TIA患者腦微齣血的相關危險因素存在差異性.
목적 비교급성뇌경사(ACI)여단잠성뇌결혈발작(TIA)환자뇌미출혈적위험인소급TOAST분형적차이.방법 선취40례반유뇌미출혈환자,근거환자적병정분류분위ACI조(24례)화TIA조(16례).이년령、혈압화혈지등위위험인소,비교량조환자위험인소적차이;동시장량조환자분별진행TOAST아형분류,비교량조환자TOAST분형적차이.결과 ACI조환자년령(73.3±4.1)세,반유고혈압화뇌백질소송증적환자비례분별위95.8％(23/24),70.8％(17/24),명현고우TIA조적(65.5±5.6)세,13/16,9/16,차이유통계학의의(P＜0.05).ACI조대동맥죽양경화성화심원성적환자소점비례분별위75.0％(18/24),16.7％(4/24),명현고우TIA조적8/16화1/16,차이유통계학의의(P＜ 0.05);ACI조소동맥폐새성환자소점비례위8.3％(2/24),명현저우TIA조적7/16,차이유통계학의의(P＜0.05).결론 ACI화TIA환자뇌미출혈적상관위험인소존재차이성.
Objective To compare the risk factors of mild hemorrhage and diiferences of TOAST type in patients with acute cerebral infarction (ACI) and transient ischemia attack (TIA).Methods Forty patients with mild hemorrhage were divided into ACI group(24 cases) and TIA group(16 cases) according to disease classification.Risk factors such as age,blood pressure,blood lipid and so on between 2 groups were compared,TOAST subtype differences of 2 groups were compared.Results The age [(73.3 ± 4.1) years],the ratio of hypertension [95.8％(23/24)],leukoaraiosis [70.8％(17/24)] in ACI group was significantly higher than that in TIA group [(65.5 ± 5.6) years,13/16,9/16],there was significant difference (P ＜ 0.05).The ratio of large-artery atherosclerosis and cardioembolism in ACI group [75.0％ (18/24) and 16.7％ (4/24)] was significantly higher than that in TIA group (8/16 and 1/16),there was significant difference (P ＜ 0.05).But the ratio of small artery occlusion in ACI group [8.3％ (2/24)] was significantly lower than that in TIA group (7/16),there was significant difference (P ＜ 0.05).Conclusion Correlative risk factors of milde hemorrhage in ACI and TIA patients have significant differences.
