不同部位脑梗死与进展性脑梗死发生的相关性研究

Study on correlation between different parts of the cerebral infarction and occurrence of progressive cerebral infarction

目的探讨不同部位脑梗死与进展性脑梗死发生的相关性。方法 126例脑梗死患者为研究对象,根据患者病情分为A组(进展性脑梗死,35例)和B组(非进展性脑梗死,91例),分析两组患者不同梗死灶分布情况及不同梗死病灶与进展性脑梗死发生的相关性。结果 A组患者皮质梗死灶所占比例65.71%显著高于B组18.68%,基底节梗死灶所占比例11.43%显著低于B组40.66%,差异均有统计学意义(P<0.05)。两组放射冠及后循环所占比例比较差异均无统计学意义(P>0.05)。线性相关分析得出,皮质梗死灶与进展性脑梗死发生呈正相关(P<0.05),基底节、后循环梗死灶与进展性脑梗死发生呈负相关(P<0.05),放射冠梗死灶与进展性脑梗死发生无相关性(P>0.05)。结论皮质部位脑梗死患者易发生进展性脑梗死,皮质、基底节、后循环梗死灶与进展性脑梗死的发生密切相关。

Objective To explore the correlation between different parts of the cerebral infarction and occurrence of progressive cerebral infarction. Methods A total of 126 cerebral infarction patients as study subjects were divided by pathogenetic condition into group A（progressive cerebral infarction, 35 cases） and group B（non-progressive cerebral infarction, 91 cases）. Analysis were made on different distribution of infarctions, correlation between different infarctions and occurrence of progressive cerebral infarction in two groups. Results Group A had significantly higher proportion of cortex infarctions as 65.71% than 18.68% in group B, significantly lower proportion of basal ganglia infarctions as 11.43% than 40.66% in group B. Their difference had statistical significance（P〈0.05）. Both groups had no statistically significant difference in proportion of corona radiata and posterior circulation（P〉0.05）. Linear correlation analysis showed that cortex infarctions was positively correlated with occurrence of progressive cerebral infarction（P〈0.05）, basal ganglia, posterior circulation infarctions were negatively correlated with occurrence of progressive cerebral infarction（P〈0.05）, and corona radiata infarctions had no correlation with occurrence of progressive cerebral infarction（P〉0.05）. Conclusion Patients with cortex cerebral infarction is prone to progressive cerebral infarction, cortex, basal ganglia, posterior circulation infarctions and is closely related to the occurrence of progressive cerebral infarction.