辽沈地区单中心2020—2022年颅内动脉瘤患者临床特征分析

Clinical characteristics analysis on intracranial aneurysms patients in single center in Liaoshen area from 2020 to 2022

目的 探讨颅内动脉瘤患者基本临床特征,掌握颅内动脉瘤的发病情况,改善颅内动脉瘤患者的治疗效果。方法 以随机抽样的方式选取2020年6月—2022年12月北部战区总医院神经外科收治的229例颅内动脉瘤患者,对其临床资料进行整理分析,依据动脉瘤是否破裂将其分为动脉瘤破裂组(n=116例)和动脉瘤未破裂组(n=113例),并分析患者基线特征、基础病史、生活习惯以及动脉瘤基本特征。结果 随着年龄的增长,女性比例大幅升高,差异有统计学意义(χ^(2)=38.314,P<0.001)。总体人群中高血压的患病率为65.9%,糖尿病的患病率为11.4%;47.2%患者有吸烟史,34.9%患者有饮酒史。大脑前循环动脉瘤约占总体的82.9%。破裂动脉瘤的平均大小为(5.88±4.37)mm,未破裂动脉瘤的平均大小(7.50±7.37)mm。结论 有高血压史、吸烟饮酒史的人群,发生颅内动脉瘤的概率更高。颅内动脉瘤好发位置于大脑前循环。动脉瘤的大小与破裂并不直接相关。

Objective To investigate the basic clinical characteristics of intracranial aneurysms patients and grasp the incidence of intracranial aneurysm,improve the treatment effect of intracranial aneurysm patients.Methods A total of 229 patients with intracranial aneurysms admitted to the General Hospital of Northern Theater Command from June 2020 to December 2022 were selected by random sampling,and their clinical data were collected and analyzed.According to whether the aneurysms were ruptured,they were divided into ruptured intracranial aneurysm group(n=116 cases) and unruptured intracranial aneurysm group(n=113 cases).The baseline characteristics,basic medical history,lifestyle and basic characteristics of aneurysms of patients were analyzed.Results The proportion of females increased significantly with age(χ~2=38.314,P<0.001).The prevalence of hypertension and diabetes was 65.9% and 11.4%,respectively.Patients with a history of smoking accounted for 47.2% and 34.9% of patients had a history of drinking.Anterior cerebral circulation aneurysms accounted for about 82.9% of the total.The mean size of ruptured aneurysms was(5.88±4.37)mm,and the mean size of unruptured aneurysms was(7.50±7.37)mm.Conclusions People with a history of hypertension,smoking and alcohol consumption have a higher probability of intracranial aneurysms.The most common location of intracranial aneurysms is the anterior cerebral circulation.Aneurysm size is not directly related to rupture.