缺血性脑血管病合并颈部动脉狭窄的高危因素分析  

High Risk Factors Analysis of Ischemic Cerebral Vascular Combined with Carotid Stenosis

作　　者：王跃慧[1] 梁文华 白莹[1] 田跃雷[3] 吴玲玲[1] 

机构地区：[1]河北北方学院附属第二医院神经内科,河北张家口075100 [2]张家口市万全县医院内科,河北张家口075000 [3]河北北方学院附属第二医院心内科,河北张家口075100

出　　处：《医学与哲学（B）》2016年第2期38-40,共3页Medicine & Philosophy(B)

摘　　要：考察缺血性脑血管痛患者中动脉狭窄的发生率，探讨动脉狭窄发生的高危影响因素。选取2013年6月～2015年6月我科共收住院经确诊的缺血性脑血管病患者128例。测量并记录动脉狭窄的发生情况（部位、程度，病变类型、特点及分布，侧支循环、Willis环开放）。考察引起动脉狭窄的高危影响因素。动脉狭窄主要因动脉粥样硬化引起，单因素分析结果显示，动脉狭窄的高危因素包括高血压病、糖尿病、脑卒中史、高血脂、吸烟等（P〈0．05）。经Logistic回归发现，这些因素均与动脉狭窄的发生具有显著性相关（P〈0．05）。缺血性脑血管病患者多合并有不同程度的动脉狭窄。既往有高血压、高血脂、糖尿病、脑卒中史以及吸烟等均为动脉狭窄发生的高危影响因素。To investigate the incidence rate of arterial stenosis in patients with ischemic cerebrovascular disease, and discuss the high risk factors causing the disease. 128 cases of patients with ischemic cerebrovascular disease, who were hospitalized in our hospital from June to June in 2015 were selected. The authors measured and recorded the information about the artery stenosis occurred （including location, degree, type, features and distribution of lesions, collateral circulation, Willis Circle opening）. The authors investigated the related risk factors of arterial stenosis. Arterial stenosis is mainly caused by atherosclerosis, and Single factor analysis results showed that its high risk factors including hypertension, diabetes, stroke, high blood lipids, smoking and others indexes （P〈0. 05）. Logistic regression results showed that the above factors were significantly associated with arterial stenosis （P〈 0. 05）. Patients with ischemic cerebrovascular disease are more likely to merge with arterial stenosis previous disease as hypertension, high blood lipid, diabetes, stroke history, and the bad habits as smoking and other factors are all the high risk factors of atherosclerosis.

关 键 词：缺血性脑血管病 动脉狭窄患者 病因分析 高危因素 

分 类 号：R743[医药卫生—神经病学与精神病学]