缺血性脑血管病的危险因素与脑动脉病变相关分析

Analyze the relationship between risk facter and cerebral artery stenosis in ischemic cerebrovascular disease

目的探讨全脑血管造影术后缺血性脑血管病患者的危险因素与脑动脉病变的相关关系。方法选择110例有造影指征的缺血性脑血管病患者,进行数字减影脑血管造影(DSA)检查,对脑动脉狭窄程度和危险因素进行统计分析。结果年龄>60岁、吸烟、高血压、糖尿病、高血脂症均为脑动脉狭窄的独立危险因素(P<0.05),其中糖尿病、高血压与脑动脉狭窄的关系更为密切;各危险因素中,糖尿病脑动脉中度狭窄的发生率较高血压高(P<0.05),糖尿病脑动脉重度狭窄的发生率较冠心病高,差异有统计学意义(P<0.05)。结论年龄>60岁、吸烟、糖尿病、高血压、高血脂症是脑动脉狭窄的独立危险因素,而糖尿病、高血压与脑动脉狭窄的关系更为密切;糖尿病可能是脑动脉严重狭窄的最主要危险因素之一。

Objective To discuss the relationship between risk factor and cerebral artery stenosis in ischemic cerebrovacular disease. Methods 110 cases patients with ischemic cerebrovacular disease accepted DSA examination, and evaluated the relationship between risk factor and cerebral artery stenosis. Resdts Over sixty-years old, smoking,diabetes, hypertension and hyperlipidemias were independent risk factors for cerebral artery stenosis （ P 〈 0.05 ）. Diabetes and Hypertension were closely correlated with cerebral artery stenosis. In various risk factor, the incidence of diabetic cerebral artery moderate stenosis was higher than hypertension（ P 〈 0.05 ） ,the incidence of diabetic cerebral artery with severe stenosis was higher than coronary heart disease, there was significant difference （ P 〈 0.05 ）. Conclusion Over sixty-years old, smoking, hypertension, diabetes and hyperlipidemias are independent risk factor for cerebral artery stenosis, diabetes and hypertension are closely correlated with cerebral artery stenosis;Diabetes may be one of the most important risk factor for severe cerebral arterial stenosis.