The server is under maintenance between 08:00 to 12:00 (GMT+08:00), and please visit later.
We apologize for any inconvenience caused
Login  | Sign Up  |  Oriprobe Inc. Feed
China/Asia On Demand
Journal Articles
Laws/Policies/Regulations
Companies/Products
Bookmark and Share
zheng zhuang xing lu nei dong mai zhou yang ying hua xing xia zhai de fen bu ji wei xian yin su fen xi
Author(s): 
Pages: 36-40
Year: Issue:  1
Journal: Hebei Medical Journal

Keyword:  缺血性卒中颅内动脉狭窄危险因素;
Abstract: 目的:探讨症状性颅内动脉狭窄的分布及其危险因素,为缺血性卒中及颅内动脉粥样硬化狭窄的防治提供重要依据。方法收集急性缺血性卒中住院患者323例,所有患者均行TCD( transcranial Doppler ,TCD)检查确定是否有颅内动脉狭窄,同时需要明确病变部位或颞窗探测不佳时行MRA(magnetic resonance angiography ,MRA)检查共76例患者;存在颅内动脉狭窄的199例患者作为狭窄组,124例无明显颅内动脉狭窄的患者作为对照组。统计颅内动脉狭窄的血管狭窄的分布及其危险因素。结果颈内动脉末端、大脑中动脉在颅内动脉狭窄中最为常见,分别占颅内动脉狭窄数的34 A.8%和27.1%;颅内动脉狭窄组患者年龄( t =2.164, P =0.031)、入院血糖水平( t =2.014, P =0.045)高于对照组;糖尿病患者所占比例,颅内动脉狭窄组高于对照组(χ2=22.275, P =0.000);颅内动脉狭窄单因素Logistic回归分析显示年龄(OR=1.022,95%CI=1.002~1.043, P =0.032)、糖尿病(OR=3.529,95%CI=2.058~6.051, P =0.000)和入院血糖(OR=1.115,95%CI=1.000~1.243, P =0.049)与颅内动脉狭窄相关。颅内动脉狭窄多元Logistc回归分析显示年龄(OR=1.028,95%CI=1.004~1.052, P =0.019)和糖尿病(OR=3.737,95%CI=2.007~6.959, P =0.000)是症状性颅内动脉粥样硬化性狭窄的独立危险因素。结论颈内动脉末端、大脑中动脉在颅内动脉狭窄中最为常见,年龄和糖尿病是症状性颅内动脉粥样硬化性狭窄的独立危险因素。
Related Articles
No related articles found