高龄多动脉狭窄与缺血性脑卒中的关联度分析  

Analysis on the relationship between peripheral artery stenosis and ischemic stroke in the elderly

作　　者：周春[1] 童辉 吴玉泉[1] 卢小军[1] 郑赟[1] 张金彭[1] 

机构地区：[1]解放军第117医院干部病房,浙江杭州310013 [2]解放军浙江省军区司令部门诊部,浙江杭州310002

出　　处：《临床军医杂志》2012年第5期1097-1099,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨高龄老年人(≥80岁)外周动脉粥样硬化(AS)性血管狭窄数目与缺血性脑卒中的相互关系。方法采用多普勒超声对292例高龄老年人进行颈动脉、下肢动脉检查,并记录一般情况、缺血性脑卒中事件及其主要危险因素。结果随着外周动脉血管狭窄数目的增加,原发性高血压、高脂血症、2型糖尿病的发病率明显升高,存在统计学差异(χ2=22.261、12.205、14.362,均P<0.01)。血管狭窄数目与缺血性脑卒中之间显著相关(P<0.01)。结论多部位外周AS性血管狭窄与缺血性脑卒中之间有显著关系,多普勒超声可明显筛选出更高危患者,对预防缺血性脑卒中有重要意义。Objective To investigate the relationship between number of peripheral artery atherosclerotic stenosis and ischemic stroke in elderly people（aged ≥80 years）.Methods Two hundred and ninety two elderly people in cadre ward underwent Doppler ultrasound of carotid and artery of lower extremity.General conditions,ischemic stroke and risk factors were assessed.Results The incidence of essential hypertension,hyperlipidemia and type 2 diabetes significantly enhanced along with increasing number of peripheral artery stenosis,there was significant difference（χ2=22.261,12.205,14.362,all P0.01）.The number of peripheral artery stenosis is significant correlated with ischemic stroke（χ2=12.316,P0.01）.Conclusion Multiple peripheral artery atherosclerotic stenosis is associated with ischemic stroke and Doppler ultrasound is effective to detect high-risk patients and prevent ischemic stroke.

关 键 词：外周动脉狭窄 缺血性脑卒中 动脉粥样硬化 

分 类 号：R743[医药卫生—神经病学与精神病学]