椎基底动脉延长扩张症与脑卒中关系的临床分析  

Clinical Analysis of the Relationship Between Vertebrobasilar Artery Ectasia and Stroke

作　　者：杨永[1] YANG Yong(Nanjing Gulou Hospital Group Suqian People's Hospital,Suqian,Jiangsu 223800,China)

机构地区：[1]南京鼓楼医院集团宿迁市人民医院,江苏宿迁223800

出　　处：《大医生》2020年第6期15-15,16-18,共4页Doctor

摘　　要：目的探究椎基底动脉延长扩张症与脑卒中的关系情况。方法选取2017年9月至2019年9月南京鼓楼医院集团宿迁市人民医院收治的脑卒中患者50例,分为椎基底动脉延长扩张症组(18例)和非椎基底动脉延长扩张症组(32例),对患者的临床资料进行回顾性分析。结果单因素方差分析发现,椎基底动脉延长扩张症组和非椎基底动脉延长扩张症组在性别、吸烟史、肥胖方面差异有统计学意义(P<0.05),而在年龄、脑卒中史、冠心病史、高脂血症、糖尿病及高血压方面差异无统计学意义(P>0.05);椎基底动脉延长扩张症组18例患者包拆13例脑梗死患者和5例脑出血患者,相比于脑梗死患者,脑出血组的基底动脉分叉高度较高(P<0.05).结论在脑出血和脑梗死中,椎基底动脉延长扩张症的发病率差异较小,椎基底动脉延长扩张症脑卒中的发生和肥胖、吸烟及性别有关系十分密切,同时其发生和基底动脉分叉高度的关系也非常密切。Objective To explore the relationship between ver tebrobasilar artery ectasia and stroke.Methods A total of 50 patients with stroke admitted to suqian people's hospital of nanjing gulou hospital group from September 2017 to September 2019 were selected as the study subjects.The clinical data of the patients were retrospectively analyzed,and the patients were divided into the vertebrobasilar artery extension and dilatation group(18 cases)and the non-vertebrabasilar artery extension and dilatation group(32 cases)according to the diagnostic criteria of vertebrobasilar artery extension and dilatation.Resalts According to the single factor analysis of variance,found that vertebral basilar artery extension expansion group and non vertebral basilar artery extension expansion in terms of gender,smoking,obesity,difference was statistically significant(P<0.05),while in the history of age,history of stroke,coronary heart di sease,hyper1 ipi demi a,diabetes and high blood pressure differences had no statistical significance(P>0.05);The 18 patients in the vertebrobasilar artery extension and dilatation group included 13 patients with cerebral infarction and 5 patients with cerebral hemorrhage.Compared with the patients with cerebral infarction,the basilar artery bifurcation height in the cerebral hemorrhage group was higher(P<0.05),Canclusion In cerebral heorrhage and cerebral infarction.the difference in the incidence of vertebrobasilar artery dilatation is small,the occurrence of vert.ebrobasilar artery dilatation stroke is closely related to obesity,smoking and gender,and its ccurrence is also closely related to the height of basilar artery bifurcation.

关 键 词：椎基底动脉延长扩张症 脑卒中 脑梗死 

分 类 号：R74[医药卫生—神经病学与精神病学]