中山市缺血性脑卒中分型的亚型分布：基于中山市人民医院住院病人的初步研究  

Distribution of subtypes of ischemic stroke in Zhongshan People＇s Hospital

作　　者：佘子瑜[1] 吴文军[1] 霍富元[1] 潘军利[1] 

机构地区：[1]中山市人民医院神经内科,528400

出　　处：《国际医药卫生导报》2014年第4期524-527,共4页International Medicine and Health Guidance News

摘　　要：目的 了解中山市住院缺血性脑卒中患者临床分型的亚型分布,为脑卒中预防、治疗方法的选择、预后评估提供参考依据.方法 按CISS分型对中山市人民医院133例出院的缺血性脑卒中患者进行病因及发病机制分型.结果 中山市人民医院缺血性脑卒中的病因中大动脉粥样硬化性占62.4％,大动脉粥样硬化性是主要病因,与其他病因相比具有统计学差异（P＜0.05）；大动脉粥样硬化脑梗死发病机制中载体动脉阻塞穿支动脉占50.6％,为主要发病机制,与其他发病机制相比,差异具有统计学意义（P＜0.05）.结论 大动脉粥样硬化依然是最主要的病因,其次为穿支动脉疾病,心源性并不少见.以载体动脉阻塞穿支动脉为主要的发病机制.高血压、吸烟、高血脂是最常见的危险因素,需重视加强高血压病管理及注意筛查糖尿病.Objective To provide some references for preventing,treating,and assessing ischemic stroke analyzing the distribution of the subtypes of ischemic stroke in admitted patients in Zhongshan.Mehtods 133 patients with ischemic stroke from Zhongshan People＇ s Hospital were etiologically and pathogeneticly typed in term of CISS classification.Results Main artery atherosclerosis is the main etiology causing ischemic stroke,accounting for 62.4％; there were statistical differences between it and other etiologies（P ＜ 0.05）.Parent artery occluding penetrating artery was the main pathogenesis for main artery atherosclerosis,accounting for 50.6％; there were statistical differences between it and other pathogenesis（P ＜ 0.05）.Conclusions Main artery atherosclerosis still is the main etiology of ischemic stroke,following by penetrating artery disease,and cardioembolism ischemic stroke is not rare.Parent artery occluding penetrating artery is an important pathogenesis.Hypertension,smoking,and hyperlipidemia are the most common risk factors.Hypertension management and diabetes screening should be carried out.

关 键 词：缺血性脑卒中 亚型 CISS分型 

分 类 号：R743.3[医药卫生—神经病学与精神病学]