765例急性后循环脑梗死患者椎动脉病变特征分析——基于超声研究  

Analysis of Vertebral Artery Lesions in 765 Patients with Acute Posterior Circulation Infarction--Based on Ultrasound Research

作　　者：孙浩 杨丽娟 戴云跃[3] 鲁睿文 杨志成 王旭 SUN Hao;YANG Lijuan;DAI Yunyue;LU Ruiwen;YANG Zhicheng;WANG Xu(Baotou Clinical Medical College of Inner Mongolia Medical University,Baotou 014040 China;Baotou Central Hospital,Baotou 014040 China;Baotou Medical College,Baotou 014040 China)

机构地区：[1]内蒙古医科大学包头临床医学院,内蒙古包头014040 [2]包头市中心医院,内蒙古包头014040 [3]包头医学院,内蒙古包头014040

出　　处：《内蒙古医学杂志》2024年第8期927-930,共4页Inner Mongolia Medical Journal

摘　　要：目的本研究基于颈部血管超声分析急性后循环脑梗死患者椎动脉病变特征,以期为卒中防治提供依据。方法回顾性分析包头市中心医院神经内科765例急性后循环梗死患者,依据年龄分为青中年组(年龄≤60岁)270例(35.3%)和老年组(≥60岁)495例(64.7%),比较两组间椎动脉病变特征及危险因素。结果老年组以椎动脉颅外段病变为主,青中年组以椎动脉颅内段病变及少见病变(夹层、血栓)为主(P值分别为0.02、0.01),椎动脉血流动力学正常及生理性病变两组比较差异无统计学意义(P值分别为0.897、0.141);两组患者危险因素以高血压(73.6%,563/765)、高同型半胱氨酸血症(49.7%,380/765)居多,且高血压、糖尿病组间分布差异无统计学意义(P值分别为0.066、0.068),高脂血症、高同型半胱氨酸血症组间分布差异存在统计学意义(均P<0.05)。结论不同年龄急性后循环梗死患者椎动脉病变分布存在差异。Objective In order to provide a basis for the prevention and treatment of stroke,this study was based on the analysis of vertebral artery lesions in patients with acute posterior circulation infarction based on cervical vascular ultrasound.Methods A retrospective analysis was performed for 765 patients with acute posterior circulation infarction in the Department of Neurology,Baotou Central Hospital,who were divided into 270 cases(35.3%)in the young and middle-aged group(aged≤60 years)and 495 cases(64.7%)in the elderly group(≥60 years old).Results The vertebral artery extracranial lesions were the main lesions in the elderly group,and the vertebral artery intracranial lesions and rare lesions(dissection and thrombosis)were the main lesions in the young and middle-aged patients(P were 0.02 and 0.01,respectively),and there was no significant difference between the two groups in the patients with normal hemodynamics and vertebral artery physiological lesions(P were 0.897 and 0.141,respectively),hypertension(73.6%,563/765)and hyperhomocysteinemia(49.7%,380/765)were the most important risk factors between the two groups,and there was no significant difference in the distribution between the hypertension and diabetes groups(P were 0.066 and 0.068,respectively),and there were significant differences in the distribution between the hyperlipidemia and hyperhomocysteinemia groups(both P<0.05).Conclusions There are differences in the distribution of vertebral artery lesions in patients with acute posterior circulation infarction in different age groups.

关 键 词：急性后循环脑梗死 椎动脉病变 超声 

分 类 号：R592[医药卫生—老年医学]