椎动脉形态异常状况与后循环TIA症状持续时间的相关性  

Correlation between abnormal vertebral artery morphology and duration of posterior circulation TIA

作　　者：王振凤 刘南海[2] 田克瑶 胡成 王励辉 WANG Zhenfeng;LIU Nanhai;TIAN Keyao;HU Cheng;WANG Lihui(Department of Neurology,Second Affiliated Hospital of Gannan Medical University,Ganzhou 341600,China;Department of Neurology,First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China)

机构地区：[1]赣南医学院第二附属医院神经内科,江西赣州341600 [2]赣南医学院第一附属医院神经内科,江西赣州341000

出　　处：《中国现代医生》2022年第18期38-40,159,共4页China Modern Doctor

摘　　要：目的探讨椎动脉形态异常状况与后循环短暂性脑缺血(TIA)症状持续时间的相关性。方法选取2015年9月~2020年12月赣南医学院第一附属医院和赣南医学院第二附属医院收治的后循环TIA患者84例,根据TIA症状持续时间进行分组,分为甲组(<10 min,n=34)、乙组(10~59 min,n=29)和丙组(≥60 min,n=21),所有患者开展头颈部血管检查(CTA)或头颈部血管影像学检查(DSA)。收集三组患者的临床资料,回顾性分析椎动脉形态与后循环TIA症状持续时间的相关性。结果单因素分析发现,在男性、椎动脉狭窄、基底动脉狭窄率≥50%、动脉粥样硬化性狭窄的占比上,三组比较,差异有统计学意义(均P<0.05)。多因素分析发现,基底动脉狭窄率≥50%、椎动脉狭窄是影响后循环TIA症状持续时间的危险因素(均P<0.05)。结论基底动脉狭窄率≥50%、椎动脉狭窄是影响后循环TIA症状持续时间的危险因素,临床治疗疾病时需引起重视,尽可能缩短后循环TIA症状持续时间,改善患者的预后。Objective To explore the correlation between abnormal vertebral artery morphology and the duration of posterior circulation transient ischemic attack(TIA).Methods A total of 84 patients with posterior circulation TIA were enrolled in the First Affiliated Hospital of Gannan Medical University and the Second Affiliated Hospital of Gannan Medical University from September 2015 to December 2020.They were divided into group A(<10 min,n=34),group B(10-59 min,n=29),and group C(≥60 min,n=21)according to the duration of TIA symptoms.All patients underwent head and neck vascular examination(CTA)or head and neck vascular imaging examination(DSA).The clinical data of three groups were collected,and the correlation between vertebral artery morphology and the duration of posterior circulation TIA symptoms was retrospectively analyzed.Results Univariate analysis showed significant differences among the three groups in the proportion of male,vertebral artery stenosis,basilar artery stenosis rate≥50%,and atherosclerotic stenosis(all P<0.05).Multivariate analysis showed that vertebral artery stenosis and basilar artery stenosis rate≥50%were the risk factors affecting the duration of posterior circulation TIA symptoms(all P<0.05).Conclusion Vertebral artery stenosis and basilar artery stenosis rate≥50%are the risk factors affecting the duration of posterior circulation TIA symptoms.Clinical attention should be paid to these factors to shorten the duration of posterior circulation TIA symptoms and improve the prognosis of patients.

关 键 词：椎动脉形态异常状况 后循环TIA症状持续时间 相关性 头颈部血管检查 

分 类 号：R743.3[医药卫生—神经病学与精神病学]