本刊首页 > 期刊目次 > 高血压、糖尿病与脂代谢紊乱对脑梗死患者头颈部血管病变的影响

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高血压、糖尿病与脂代谢紊乱对脑梗死患者头颈部血管病变的影响

  • 王涛

* 通信作者: 王涛, 单位:安徽省淮南市第一人民医院神经内科

摘要

【摘要】
目的 分析高血压、糖尿病及脂代谢紊乱对脑梗死患者颅内血管的病变特征,为临床预防及诊治提供影像学证据。

方法 采集400例2014年7月至2015年9月间我院神经内科收治的行头颈CTA检查的脑梗死患者的临床及病例资料,将所有患者是否罹患糖尿病、高血压和脂代谢紊乱疾病将其分为8组,并使用CTA对所有患者进行检查及评分。

结果 较其余组别,B组患者颅内斑块积分显著偏高(P<0.05),B组患者头颈部大血管狭窄程度积分显著偏高(P<0.05),B组患者颅内动脉狭窄程度积分显著偏高(P<0.05);B、C、D三组对三种积分存显著性影响(P<0.05),但交互作用分析其无显著性差异(P>0.05),因而行两两比较。H组患者三种积分均显著高于其余组别(P<0.05);F组患者斑块积分显著高于D组(P<0.05),E组患者头颈部颅外大血管狭窄程度积分显著高于A、B、D组(P<0.05);F组患者颅外大血管狭窄程度显著高于A、B及D组(P<0.05),其颅内动脉狭窄积分显著高于A、C及D组(P<0.05)。

结论 颅内动脉狭窄与高血压密切相关,且高血压是并发血管管腔狭窄的显著性因素,因而高血压患者多并发颅内动脉狭窄,头颈部颅外血管受高血压影响可出现多发血管狭窄病灶且病变程度高、发生率高,高血压合并糖尿病、脂代谢紊乱脑梗死患者,其血管管腔狭窄及其血管动脉粥样硬化程度均高于其他脑梗死患者。

关键词: 高血压;糖尿病;脂代谢紊乱;脑梗死;血管病变

ABSTRACT

[Abstracts]
Objective Analysis of Hypertension, diabetes and dyslipidemia of cerebral infarction patients with intracranial vascular lesion characteristics, provide imaging significance for clinical prevention and treatment.

Methods Collected 400 cases of 2014 July to September 2015, the department of neurology were analyzed between head and neck CTA examination of patients with cerebral infarction clinical cases and data and use the CTA inspection on all of the patients and the score.

Results Than the rest of the group, group B had significantly higher in patients with intracranial plaque integral (P < 0.05), group B had significantly higher in patients with head and neck vascular stenosis degree integral (P < 0.05), group B patients with intracranial artery stenosis degree had significantly higher score (P < 0.05);B, C, D, three groups of three points to save significant effect (P < 0.05), but there was no significant interaction analysis of the difference (P > 0.05), and line two.Three points were significantly higher than the rest of the group H patients group (P < 0.05);F group had A significantly higher in patients with plaque integral group D (P < 0.05), group E in patients with head and neck extracranial vascular stenosis degree score significantly higher than that of group A, B and D (P < 0.05);F group had A significantly higher degree of extracranial vascular stenosis in patients with A, B and D group (P < 0.05), the intracranial artery stenosis integral is significantly higher than A, C and D group (P < 0.05).

Conclusion   Intracranial artery stenosis is closely related to hypertension, and hypertension is a disease of vascular luminal stenosis significant factors, therefore more hypertension patients complicated by intracranial artery stenosis, head and neck extracranial vessels affected by hypertension can appear multiple vascular stenosis degree is high, high incidence of lesions and pathological changes, hypertension, dyslipidemiaof cerebral infarction patients with diabetes mellitus, the blood vessels and luminal stenosis degree of vascular atherosclerosis were higher than other patients with cerebral infarction.

Key words: Hypertension;diabetes; dyslipidemia; vascular lesions; cerebral infarction

引用本文 / How to Cite This Article

王涛.高血压、糖尿病与脂代谢紊乱对脑梗死患者头颈部血管病变的影响[J]. 国际精神病学杂志, , (): -

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