脑梗死患者颈动脉病变与眼底动脉硬化的相关性研究  

Study on the correlation between carotid artery lesion and fundus arteriosclerosis in patients with cerebral infarction

作　　者：宋伟琼[1] 周小平[1] 邝国平[1] 欧玉仑[1] 冯少颖[1] 秦牧[1] 李征[1] 

机构地区：[1]中国湖南省郴州市第一人民医院眼科,423000

出　　处：《国际眼科杂志》2017年第11期2151-2153,共3页International Eye Science

基　　金：郴州市科技局资助课题(No.CZ2014032)~~

摘　　要：目的:探讨脑梗死患者颈动脉病变与眼底动脉硬化的相关性。方法:选取我院确诊为脑梗死的患者120例,采用超声评价双侧颈动脉、免散瞳眼底照相机观测视网膜血管,并对发生短暂性脑缺血发作(TIA)患者42例行脑动脉造影术,根据记录的数据做相关统计学分析。结果:脑梗死患者眼底动脉硬化程度与血压呈正相关(r=0.361,P=0.015);视网膜动脉硬化分级与颈动脉硬化具有明显相关性(r=0.392,P=0.011);眼底动脉硬化程度与脑小动脉病变相关性高于颈动脉病变的相关性(r=0.465、0.392,P=0.037)。结论:脑梗死患者颈动脉硬化、眼底动脉硬化及脑小动脉病变与高血压有着明显的相关性。AIM： To investigate the correlation between carotid artery disease and fundus arteriosclerosis in patients with cerebral infarction. METHODS： Totally 120 patients with acute cerebral infarction were randomly divided into two groups. The patients were diagnosed with bilateral carotid artery and nonmydriatic fundus camera. Foutytwo patients transient ischaemic attack （TIA） underwent cerebral angiography. The data were recorded for analysis. RESULTS： The degree of fundus arteriosclerosis in patients with cerebral infarction was positively correlated with blood pressure （r= 0. 361, P= 0. 015）. There was a significant correlation between retinal arteriosclerosis grade and carotid atherosclerosis （ r= 0. 392, P= 0. 011 ）. The degree of fundus arteriosclerosis was correlated with cerebral arteriolar lesion, higher than it with carotid artery disease （r=0.465, 0.392, P=0.037）. CONCLUSION ： Carotid arteriosclerosis, fundus arteriosclerosis and cerebral arteriolar lesions in patients with cerebral infarction have a significant correlation with hypertension, and fundus arterial examination has important clinical value in judging cerebral arteriosclerosis.

关 键 词：脑梗死 颈动脉病变 眼底动脉硬化 

分 类 号：R743.3[医药卫生—神经病学与精神病学]