中华老年病研究电子杂志
中華老年病研究電子雜誌
중화노년병연구전자잡지
Chinese Journal of Senile Diseases Research (Electronic Edition)
2015年
1期
32-34,41
,共4页
脑血管循环%脑缺血发作,短暂性%危险因素%卒中
腦血管循環%腦缺血髮作,短暫性%危險因素%卒中
뇌혈관순배%뇌결혈발작,단잠성%위험인소%졸중
Cerebrovascular circulation%Ischemic attacks,Transient%Risk factor%Stroke
目的:探讨后循环短暂性脑缺血发作(transient ischemic attacks,TIA)患者的临床特征及脑卒中危险因素,为预防脑卒中提供依据。方法选取2010年10月至2013年12月浙江医院收治的确诊的后循环TIA患者88例,对其临床特征及相关危险因素(高血压、冠心病、糖尿病、高脂血症、房颤、吸烟)进行分析。相关性分析采用Logistic回归分析。结果主要临床特征:年龄多≥60岁(69.3%),最常见的临床表现为头晕(44.3%),症状持续时间多在10 min以内(43.2%), TIA后脑卒中发生相关危险因素中以高血压的发生率最高(48.9%),椎基底动脉狭窄≥50%者占20.5%。随访7d内脑卒中的发生率为8%(7/88)。对6项危险因素进行Logistic回归分析,结果显示糖尿病为TIA后发生脑卒中的独立危险因素(OR=5.867,95%CI=1.186~29.014,P<0.05)。结论后循环TIA的临床表现复杂多样,高血压是最常见的危险因素,糖尿病可能对TIA后发生脑卒中的影响更大。
目的:探討後循環短暫性腦缺血髮作(transient ischemic attacks,TIA)患者的臨床特徵及腦卒中危險因素,為預防腦卒中提供依據。方法選取2010年10月至2013年12月浙江醫院收治的確診的後循環TIA患者88例,對其臨床特徵及相關危險因素(高血壓、冠心病、糖尿病、高脂血癥、房顫、吸煙)進行分析。相關性分析採用Logistic迴歸分析。結果主要臨床特徵:年齡多≥60歲(69.3%),最常見的臨床錶現為頭暈(44.3%),癥狀持續時間多在10 min以內(43.2%), TIA後腦卒中髮生相關危險因素中以高血壓的髮生率最高(48.9%),椎基底動脈狹窄≥50%者佔20.5%。隨訪7d內腦卒中的髮生率為8%(7/88)。對6項危險因素進行Logistic迴歸分析,結果顯示糖尿病為TIA後髮生腦卒中的獨立危險因素(OR=5.867,95%CI=1.186~29.014,P<0.05)。結論後循環TIA的臨床錶現複雜多樣,高血壓是最常見的危險因素,糖尿病可能對TIA後髮生腦卒中的影響更大。
목적:탐토후순배단잠성뇌결혈발작(transient ischemic attacks,TIA)환자적림상특정급뇌졸중위험인소,위예방뇌졸중제공의거。방법선취2010년10월지2013년12월절강의원수치적학진적후순배TIA환자88례,대기림상특정급상관위험인소(고혈압、관심병、당뇨병、고지혈증、방전、흡연)진행분석。상관성분석채용Logistic회귀분석。결과주요림상특정:년령다≥60세(69.3%),최상견적림상표현위두훈(44.3%),증상지속시간다재10 min이내(43.2%), TIA후뇌졸중발생상관위험인소중이고혈압적발생솔최고(48.9%),추기저동맥협착≥50%자점20.5%。수방7d내뇌졸중적발생솔위8%(7/88)。대6항위험인소진행Logistic회귀분석,결과현시당뇨병위TIA후발생뇌졸중적독립위험인소(OR=5.867,95%CI=1.186~29.014,P<0.05)。결론후순배TIA적림상표현복잡다양,고혈압시최상견적위험인소,당뇨병가능대TIA후발생뇌졸중적영향경대。
Objective To analyze the clinical features, risk factors and prognosis of patients with transient ischemic attacks (TIA) in posterior circulation, and provide the evidence for prevention of stroke. Methods We prospectively selected 88 posterior circulation TIA patients from October 2010 to December 2013, analyzed their clinical features, risk factors (hypertension, diabetes, hyperlipoidemia, coronary artery disease, atrial ifbrillation and smoke).Results 69.3% patients were older than 60 years. The most common feature of posterior circulation TIA patients were dizziness (44.3%) and the duration of symptoms was less than ten minutes (43.2%). The incidence of hypertension was highest (48.9%) among these risk factors. 20.5% patients had vertebrobasilar arterial stenosis≥50%. And 8% (7/88) patients suffered stroke in 7 days after TIA. The Logistic regression analysis of 6 risk factors (hypertension, diabetes, hyperlipoidemia, coronary artery disease, atrial ifbrillation and smoke) showed that diabetes was the independent risk factor of the stroke after posterior circulation of TIA (OR=5.867, 95%CI: 1.186-29.014,P<0.05).ConclusionThe clinical features of patients with transient ischemic attacks (TIA) in posterior circulation were complex. Hypertension was the most common risk factor and diabetes may affect more on stroke after TIA.