急性颈内动脉系统脑梗死患者侧支循环建立特点及影响因素  

Characteristics and Influencing Factors of Collateral Circulation in Patients with Acute Cerebral Infarction in Internal Carotid Artery System

作　　者：张重生 施德 ZHANG Chongsheng;SHI De(Chongming Branch,Xinhua Hospital Affliated to Shanghai Jiao Tong University School of Medicine,Shanghai 202150,China)

机构地区：[1]上海交通大学医学院附属新华医院崇明分院

出　　处：《中外医学研究》2019年第36期47-49,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨急性颈内动脉系统脑梗死患者侧支循环建立特点及其影响因素。方法:采用血管造影(DSA)对笔者所在医院收治的165例急性颈内动脉系统脑梗死患者的侧支循环建立特点进行评估,根据患者资料分析其影响因素。结果:165例急性颈内动脉系统脑梗死患者中123例患者有侧支循环,占比74.55%,无侧支循环42例,占比25.45%;单因素分析结果发现有吸烟史、饮酒史、糖尿病、高血压、长期运动、口服他汀类药物等因素在有无侧支循环建立方面比较差异有统计学意义(P<0.05);多因素非条件Logistic回归分析结果有无侧支循环建立的其独立风险因素是吸烟史、糖尿病、长期运动和口服他汀类。结论:急性颈内动脉系统脑梗死患者侧支循环的建立与吸烟史、糖尿病、长期运动和口服他汀类等因素相关,早期干预可能有助于减少急性脑梗死的发生,改善预后。Objective:To investigate the characteristics and influencing factors of collateral circulation in patients with acute cerebral infarction in internal carotid artery system.Method:A total of 165 patients with cerebral infarction in the acute internal carotid artery system were evaluated by angiography(DSA),and the influencing factors were analyzed according to the patient data.Result:Of the 165 patients with cerebral infarction in the acute internal carotid artery system,123 had collateral circulation,accounting for 74.55%,and 42 without collateral circulation,accounting for 25.45%.The results of single factor analysis showed smoking history,drinking history,diabetes,hypertension,long-term exercise,oral statins and other factors in the presence or absence of collateral circulation were statistically significant(P<0.05).Multi-factor unconditional logistic regression analysis results with the establishment of collateral circulation independent Risk factors were smoking history,diabetes,long-term exercise,and oral statins.Conclusion:The establishment of collateral circulation in patients with cerebral infarction in the acute internal carotid artery system were smoking history,diabetes,long-term exercise and oral statins.Early intervention may help reduce the incidence of acute cerebral infarction and improve prognosis.

关 键 词：侧支循环 颈内动脉狭窄 急性脑梗死 多因素Logistic 回归分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]