CAJ | 학술논문

目的：探讨老年病人常见脑血管储备功能(CVR)与血管危险因素的相关性。方法选择该院收治的100例具有脑血管危险因素的老年人作为研究组，选择100例健康老年人作为对照组。两组研究对象均通过经颅多普勒(TCD)测定及屏气试验对CVR进行评估，对比两组研究对象屏气指数(BHI)，以及研究组各项脑血管危险指标与CVR的相关性。结果研究组BHI指数为0.58±0.20显著低于对照组的0.98±0.32(P<0.05)。糖尿病、高脂血症、高血压、吸咽与BHI指数均有相关性(P均<0.05)。结论高血压、糖尿病、高脂血症、吸烟等血管危险因素可以降低老年病人的CVR水平，临床应积极开展脑血管危险因素的防治工作，改善患者的不良生活习惯，以此降低脑血管不良事件的发生概率。
목적：탐토노년병인상견뇌혈관저비공능(CVR)여혈관위험인소적상관성。방법선택해원수치적100례구유뇌혈관위험인소적노년인작위연구조，선택100례건강노년인작위대조조。량조연구대상균통과경로다보륵(TCD)측정급병기시험대CVR진행평고，대비량조연구대상병기지수(BHI)，이급연구조각항뇌혈관위험지표여CVR적상관성。결과연구조BHI지수위0.58±0.20현저저우대조조적0.98±0.32(P<0.05)。당뇨병、고지혈증、고혈압、흡인여BHI지수균유상관성(P균<0.05)。결론고혈압、당뇨병、고지혈증、흡연등혈관위험인소가이강저노년병인적CVR수평，림상응적겁개전뇌혈관위험인소적방치공작，개선환자적불량생활습관，이차강저뇌혈관불량사건적발생개솔。
Objective To investigate the correlation between common cerebrovascular reserve in elderly patients and vascular risk factors. Methods 100 elderly patients admitted to our hospital with cerebral vascular risk factors were selected as the study group, 100 healthy elderly persons were selected as the control group. Cerebrovascular reserve of all the peoples was evaluated by tran-scranial Doppler (TCD) and breath test. Breath Indexes (BHI) of the two groups were compared and the correlation between com-mon cerebrovascular reserve of patients in the study group and vascular risk factors was analyzed. Results The study group BHI index was 0.58±0.20 in the control group was significantly lower than the 0.98±0.32 (P<0.05). Diabetes, hyperlipidemia, hyper-tension, smoking pharynx and BHI index were correlated (P<0.05). Conclusion Hypertension, diabetes, hyperlipidemia, smoking and other vascular risk factors can reduce the level of CVR in elderly patients, clinical prevention work should be actively pursued and cerebrovascular risk factors, improve the patient's bad habits, thereby reducing cerebrovascular adverse the probability of oc-currence of the event.