后循环脑梗死危险因素的临床分析  

Risk factors of posterior circulation cerebral infarction: clinical analysis of 1 287 cases

作　　者：王丹 刘伟[2] 胡月新[2] 黄芩[2] 韦焘[2] 

机构地区：[1]云南省第三人民医院神经内科,昆明650011 [2]昆明医科大学,昆明650050

出　　处：《第三军医大学学报》2016年第8期893-896,共4页Journal of Third Military Medical University

基　　金：美国中华医学基金会(CMB)项目(13-149)~~

摘　　要：目的探讨后循环脑梗死的相关危险因素。方法回顾性分析2010年1月至2014年12月我院神经内科收治的1 287例脑梗死患者的临床资料。剔除资料不全患者,将纳入研究的762例患者的28项可能影响因素先进行单因素Logistic回归分析,将有统计学意义的自变量再纳入多因素Logistic回归分析。结果在纳入多因素Logistic回归分析的自变量中,椎动脉颅外段狭窄（OR=1.982,95%CI：1.120-3.989）、椎动脉颅内段狭窄（OR=2.241,95%CI：1.102-4.890）和大脑后动脉狭窄（OR=1.902,95%CI：1.104-3.531）与后循环脑梗死相关（P〈0.15）。结论椎动脉颅外段狭窄、椎动脉颅内段狭窄、大脑后动脉狭窄可能为后循环脑梗死的独立危险因素。Objective To explore the related risk factors of posterior circulation cerebral infarction.Methods A retrospective study was performed. Data of twenty-eight variables from 1 287 patients with cerebral infarction were collected in our study, and after 321 patients were excluded for incomplete information,762 eligible patients were included. All data of 28 possible risk factors were processed by univariate logistic regression analysis. Independent variables with statistical significance were screened to perform multivariate logistic regression analysis. Results The variables with statistical difference（ P〈0. 15）included extracranial vertebral artery stenosis（ OR = 1. 982; 95% CI： 1. 120 - 3. 989）,intracranial vertebral artery stenosis（ OR = 2. 241; 95% CI： 1. 102 - 4. 890）,and posterior cerebral artery stenosis（ OR = 1. 902;95% CI： 1. 104 - 3. 531）. Conclusion The independent risk factors of posterior circulation cerebral infarction might be extracranial vertebral artery stenosis,intracranial vertebral artery stenosis,and posterior cerebral artery stenosis.

关 键 词：后循环脑梗死 危险因素 椎动脉颅外段狭窄 椎动脉颅内段狭窄 基底动脉狭窄 大脑后动脉狭窄 

分 类 号：R181.32[医药卫生—流行病学] R743.33[医药卫生—公共卫生与预防医学]