缺血性卒中患者脑小血管疾病临床特点的研究  

Study Clinical Characteristics of Ischemic Stroke in Patients With Cerebral Small Vessel Disease

作　　者：王景群[1] 

机构地区：[1]吉林省白山市中心医院神经内科,134300

出　　处：《中国继续医学教育》2015年第29期86-87,共2页China Continuing Medical Education

摘　　要：目的通过回顾性分析缺血性卒中患者脑小血管疾病的临床特点,主要观察脑血管疾病的危险因素。方法本次研究共收集了急性缺血性脑梗死与短暂性脑缺血患者427例,通过危险因素筛查与磁共振检查,以Fazekas评分来评估患者的白质病变程度,并按照白质病变程度来进行分组,并通过单因素与多因素回顾来评价不同组间的危险因素分布。结果通过白质病变程度进行分组,白质病变的危险因素与患者的年龄、既往病史以及血管狭窄有很大的联系。结论年龄与既往卒中史是白质病变的独立危险因素,白质病变患者会出现更多的小血管闭塞性缺血性卒中。Objective Retrospective analysis the clinical characteristics of ischemic stroke in patients with cerebral small vessel disease, mainly to observe the risk Factors of cerebrovascular disease.Methods Collected acute ischemic cerebral infarction 427 patients with transient ischemic risk factors by screening and magnetic resonance imaging, to fazekas score to assess the patient＇s degree of white matter lesions, and grouped according to the white degree of qualitative change, review and through the single factor and multiple factors to evaluate the risk factors for distribution between the different groups.Results Through the white degree of qualitative change grouping, white matter lesions of the risk factors and the patient＇s age, medical history has a great connection and hemal stricture. Conclusion Age and history of stroke are independent risk factors for the development of white matter lesions, white matter lesions will be more small vascular occlusion in patients with ischemic stroke.

关 键 词：缺血性卒中 脑小血管疾病 危险因素 

分 类 号：R742[医药卫生—神经病学与精神病学]