CAJ | 학술논문

目的：探讨老年急性缺血性脑血管合并脑微出血（ CMB）患者的患病率与分级情况。方法选取该院神经内科在2010年3月至2012年8月收治的100例老年急性缺血性脑血管患者作为观察组，选取同期100例非中枢神经系统疾病的中青年患者作为对照组。对两组受检者采用核磁共振进行扫描，对不同类型的急性缺血性脑血管疾病合并CMB患者的患病率、分级以及危险因素进行观察。结果观察组动脉粥样硬化性血栓形成、心源性脑栓塞、小动脉性脑梗死患病率明显高于对照组，且年龄、不同急性缺血性脑血管疾病、高血压是影响患病率的主要因素。结论尽早对急性缺血性脑血管患者进行检测，能够提高对该疾病的治疗与预后效果。
목적：탐토노년급성결혈성뇌혈관합병뇌미출혈（ CMB）환자적환병솔여분급정황。방법선취해원신경내과재2010년3월지2012년8월수치적100례노년급성결혈성뇌혈관환자작위관찰조，선취동기100례비중추신경계통질병적중청년환자작위대조조。대량조수검자채용핵자공진진행소묘，대불동류형적급성결혈성뇌혈관질병합병CMB환자적환병솔、분급이급위험인소진행관찰。결과관찰조동맥죽양경화성혈전형성、심원성뇌전새、소동맥성뇌경사환병솔명현고우대조조，차년령、불동급성결혈성뇌혈관질병、고혈압시영향환병솔적주요인소。결론진조대급성결혈성뇌혈관환자진행검측，능구제고대해질병적치료여예후효과。
Objective To discuss cerebral microbleeds ( CMB) prevalence and classification of elderly patients with acute ischemic cerebrovascular.Methods 100 elderly patients with acute ischemic cerebrovascular were selected as observation group;the same period,100 young cases of non central nervous system disease were selected as control group.Magnetic resonance imaging scans were used.The different types of CMB prevalence,classification and risk factors were observed.Results The incidences of atherosclerotic thrombosis,cardiogenic cer-ebral embolism,cerebral arterioles prevalence rate in observation group were significantly higher than those of control group,and the age,type of acute ischemic cerebral vascular disease,hypertension were the main factors affecting the prevalence rate.Conclusions Early detecting a-cute ischemic cerebrovascular patients could improve the effect of treatment and prognosis of the disease.