老年急性脑梗死患者脑动脉狭窄的分布及其危险因素研究

目的:探讨老年急性脑梗死患者脑动脉狭窄的分布及其危险因素。方法:对150例老年急性脑梗死患者及144例对照组人群进行经颅多普勒超声和血压、血脂、血糖、吸烟饮酒史、心脑血管病家族史进行收集。结果:研究组颅内动脉狭窄检出率(42.0%)高于对照组(13.9%)(P0.05),颅内动脉狭窄分布为MCA 41.3%、TICA 31.7%、VA 14.3%、ACA 9.5%、BA 6.3%、PCA4.8%。血脂异常、长期吸烟、长期饮酒、高血压、糖尿病、心脑血管病家族史、胆红素、尿酸以及C反应蛋白与颅内动脉狭窄相关。结论:关注颅内动脉狭窄及其危险因素对老年急性脑梗死患者非常重要,控制危险因素是医务工作者的重要工作。

Risk Factors and Characteristics of Distribution of Cerebral Artery Stenosis inElderly Patients with Acute Cerebral Infarction

Objective:To investigate the risk factors and characteristics of distribution of cerebral artery stenosis in elderly patientswith acute cerebral infarction.Methods:One hundred and fifty elderly patients with acute cerebral infarction were evaluated by TCDcompared with the control group. The risk factors include blood pressure, blood sugar and cholesterol.Results:The frequency of stenosisof the study group (42.0%) was higher than that of the control group (13.9%). The distribution of cerebral artery stenosis was MCA41.3%, TICA 31.7%, VA 14.3%, ACA 9.5%, BA 6.3% and PCA 4.8%. Dyslipidemia, long-term smoking, long-term alcoholconsumption, hypertension, diabetes, and family history of cardiovascular disease were related with intracranial artery stenosis.Conclusion:Monitoring intracranial arterial stenosis and risk factors is very important for elderly patients with acute cerebral infarction.Controlling the risk factors is significant for physicians.