急性后循环脑梗死临床特点分析

Analysis of Clinical Characteristics of Acute Posterior Circulating Cerebral Infarction

目的讨论急性后循环脑梗死临床特点。方法选取我院2014年1月—2017年8月在我科住院的急性后循环脑梗死住院患者76例作为研究对象。明确病变血管,分析各组危险因素。结果将76例急性后循环脑梗死患者按照责任血管和病灶分为近段组13例(17.1%)、中段组27例(35.5%)、远段组19例(25.0%)、混合组17例(22.4%)。近段组患者平均年龄较其他组小,差异具有统计学意义(P<0.05);近端组高脂血症发生率较其它组高,差异具有统计学意义(P<0.05);其它危险因素组间对比,差异无统计学意义(P>0.05)。结论后循环脑梗死最常累及中段和远段;后循环脑梗死患者高血压、抽烟史、糖尿病等脑血管病危险因素发生率高。

Objective To discuss the clinical characteristics of acute posterior circulating cerebral infarction （ACI）. Methods A total of 76 patients with acute posterior circulation cerebral infarction in our hospital from January 2014 to August 2017 were selected as the research objects, and the risk factors of each group were analyzed. Results According to the responsible vessels and lesions, 76 patients with acute posterior circulation cerebral infarction were divided into proximal group 13 cases （17.1%）, middle group 27 cases （35.5%）, distal group 19 cases （25.0%） and mixed group 17 cases （22.4%）. The average age of the patients in proximal group was little than in the other group, the difference was statistically significant （P 〈 0.05）; The hyperlipidemia incidence rate of the proximal group was higher than that of other groups, the difference was statistically significant （P 〈 0.05）; There was no statistically significant difference about other risk factors between the groups （P 〉 0.05）. Conclusion Posterior circulation infarction most often occurs in the middle and distal segment; the high incidence of posterior circulation cerebral vascular risk disease in patients with cerebral infarction hypertension, smoking history, diabetes mellitus.