缺血性脑血管病患者脑动脉狭窄的分布  

The distribution of cerebral artery stenosis in patients with ischemic cerebrovascular disease

作　　者：宋桂芹[1] 王拥军[2] 董可辉[2] 姜卫剑[2] 杜斌[2] 陈启东[2] 

机构地区：[1]首都医科大学教学医院北京电力医院神经内科,北京100073 [2]首都医科大学附属北京天坛医院神经内科

出　　处：《中华老年心脑血管病杂志》2008年第9期680-683,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨不同年龄缺血性脑血管病患者脑动脉狭窄的分布规律。方法缺血性脑血管病患者340例行全脑血管造影,其中短暂性脑缺血发作(TIA)患者105例(TIA组),脑梗死患者235例(脑梗死组);又根据年龄分为青年组(54例)、中年组(137例)、老年组(149例)。结果脑梗死组吸烟、饮酒明显高于TIA组(P<0.05);老年组颈动脉狭窄、颅外动脉狭窄高于中年组和青年组,中年组高于青年组(P<0.05);青年组颅内动脉狭窄高于颅外动脉狭窄,老年组颅外动脉狭窄高于颅内动脉狭窄(P<0.05);缺血性脑血管病和脑梗死患者前循环动脉狭窄高于后循环(P<0.01);老年组前后循环及后循环动脉狭窄明显高于中年组和青年组(P<0.01);中年组前后循环及后循环动脉狭窄高于青年组(P<0.01)。结论动脉粥样硬化性缺血性脑血管病患者脑动脉狭窄的分布有疾病和年龄特征性。Objective To explore the distribution of cerebral artery stenosis in patients with ischemic cerebrovascular disease of different ages. Methods 340 adult patients with ischemic cerebrovascular disease detected by angiography had cerebral artery stenosis. They were divided into cerebral infarction（CI） group and transient ischemic attack（TIA） group,and were also divided into the young-aged group, middle-aged group and old-aged group. Results The rates of smoking and drinking alcohol in cerebral infarction patients were higher than those in TIA patients （P G 0.05）. The incidence rates of carotid artery stenosis and extracranial artery stenosis in old-aged group were higher than those in middle-aged group and the young-aged group （P G0.05）. The frequency of intracranial artery stenosis was higher than that of extracranial artery stenosis in the young-aged group. In contrast, the frequency of extracranial artery stenosis was higher than that of intracranlal artery stenosis in the old-aged group. The frequency of anterior circulation artery stenosis was higher than that of the posterior circulation artery stenosis in ischemic cerebrovascular disease patients and CI patients （P 〈0.01）. The frequency of the whole circulation and the posterior circulation artery stenosis in the old-aged group was higher than that in the middle-aged group and the young-aged group （P〈0.01）. The frequency of the whole clrulation and the posterior circulation artery stenosis in the mlddle-aged group was higher than that in the young group （P〈0.01）. Conclusion The distribution of cerebral artery stenosis varies with disease and age.

关 键 词：脑缺血 颈动脉狭窄 脑血管造影术 颅内动脉硬化 

分 类 号：R743.31[医药卫生—神经病学与精神病学]