缺血性卒中合并颈动脉狭窄临床特点分析  

作　　者：关海涛[1] 周伯荣[1] 许治强[1] 

机构地区：[1]广州医学院第三附属医院神经内科,510150

出　　处：《广州医药》2009年第2期27-29,共3页Guangzhou Medical Journal

摘　　要：目的总结分析缺血性卒中颈动脉狭窄患者的临床特点,以提高临床上对此类病的认识。方法收集80例缺血性卒中合并颈动脉狭窄患者(狭窄组)和58例单纯脑梗死患者(对照组),对两组患者的临床资料包括血压、血糖、血脂、纤维蛋白原、影像学特点、临床神经功能评分及认知功能评分等方面作比较分析。结果狭窄组中,血压变化多样,血糖异常者多,卒中前发生短暂性脑缺血发作(TIA)事件偏多,合并颅内主干血管狭窄居多,影像学上显示分水岭梗死和多发性梗死发生率偏高,易发生进展型脑梗死,临床神经功能评分及简易智能评分较差。结论急性缺血性卒中患者,须排除合并颈动脉狭窄,对于合并颈动脉狭窄患者应强调个体化治疗,积极调控血压、血糖水平,控制斑块,以利尽早恢复。Objective To Summarize and analyze clinic characters of ischemic stroke combined carotid stenosis patients with the purpose raising awareness about this disease in clinic. Methods Collect 80 cases of ischemic stroke combined carotid stenosis patients （Stenosis group） and 58 cases of simple cerebral stroke patients （control） . Compare and analyze clinic data from two groups-including blood pressure, blood sugar, blood fat, fiber proteinogen, characters of imagine science, and rate of clinic nervous function, and rate of perceiving function. Results Patients in the stenosis group were more likely to develop various blood pressure diversification, blood sugar disorder, transient ischemic attack （TIA） occurrence before stroke, combined intracranial trunk blood vessel stenosis, and progressive cerebral stroke. Occurrence rate of watershed cerebral infraction and multiple cerebral infraction in imagine science is higher. Rate of clinic nervous function and simple intelligence are lower. Conclusion Must exclude carotid stenosis in treatment of acute ischemic stroke. Emphasize individual treatment of combined carotid stenosis patients, Actively control blood pressure, blood sugar level, and blood clog, relieve causes of disease as soon as possible.

关 键 词：缺血性卒中 颈动脉狭窄 临床特征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]