无症状性脑梗死相关危险因素分析  

Analysis of the correlative risk factors of asymptomatic cerebral infarction

作　　者：李菁[1] 齐进兴 邓建中[1] 

机构地区：[1]河南安阳地区医院神经内科,安阳455000

出　　处：《中国实用神经疾病杂志》2010年第15期34-35,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨无症状性脑梗死相关危险因素。方法对安阳地区医院神经内科门诊2007-01～2008-01首次就诊经头颅MRI/CT证实有腔隙性梗死灶,临床无特异性症状89例患者,分别记录患者的性别、年龄、既往史、实验室检查结果、颈动脉多普勒超声检查,并对上述数据进行统计学分析。结果 13项数据运用Logistic回归法进行分析,相关危险因素显示有统计学意义的变量是高血压史、糖尿病史、高脂血症史、吸烟史、高同型半胱氨酸血症,颈动脉多普勒超声检查发现颈动脉粥样硬化性狭窄。可认为高血压、糖尿病、高脂血症、吸烟史、高同型半胱氨酸症、颈动脉狭窄患者无症状性脑梗死发病率高。结论高龄、高血压、糖尿病、高脂血症、吸烟、高同型半胱氨酸症、颈动脉狭窄可能是无症状性脑梗死患者的危险因素。Objective To investigate the correlative risk factors of asymptomatic cerebral infarction. Methods Eighty-nine asymptomatic lacunar infarction patients confirmed by MRI/CT were registered in the First Affiliated Hospital of Zhengzhou University. The sex, age, past history, laboratory test and carotid ultrasound results were recorded. Statistic methods were used to analyze the data. Results Multivariate Logistic regression analysis was performed. And it showed that hypertension, diabetes, hyperlipoidemia, smoke, and carotid atherosclerosis stenosis were related to asymptomatie stroke. Conclusion Old, hypertension, diabetes, hyperlipoidemia, smoke, and carotid artery stenosis may be risk factors of asymptomatic stroke.

关 键 词：无症状性脑梗死 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]