青年缺血性卒中患者脑动脉狭窄分布特点与病因探讨

2016-01-28田文静杨燕

中国继续医学教育 2015年17期

关键词：病因

田文静杨燕

青年缺血性卒中患者脑动脉狭窄分布特点与病因探讨

田文静杨燕

【摘要】目的探讨青年缺血性卒中患者脑动脉狭窄的分布特点及病因。方法选取某院收治的228例缺血性卒中患者作为研究对象，将其分为两组：青年组110例，中年组118例。对两组患者脑动脉狭窄程度、发生率和伴有脑动脉狭窄患者的危险因素及病因进行分析。结果青年组脑动脉狭窄发生率为72.7%；中年组脑动脉狭窄发生率为78.0%。青年组伴有脑动脉狭窄患者中有危险因素的患者比例低于中年组。青年组动脉粥样硬化的发生率为68.8%，低于中年组的89.1%；青年组不明原因血管狭窄比率为21.2%，高于中年组的4.4%。结论青中年患者脑动脉狭窄的发生率较为接近，动脉粥样硬化狭窄的相关危险性因素不多，但不明因素较多。

【关键词】缺血性卒中；脑动脉硬化狭窄

作者单位：272000 济宁医学院附属医院神经内三科

课题：济宁市科技局项目，济科字【2011】57号

To Investigate the Distribution Characteristics and Etiology of Cerebral Artery Stenosis in Patients With Ischemic Stroke in Youth

TIAN Wenjing YANG Yan, Affiliated Hospital of Jining Medical College of Internal Medicine, Jining 272000, China

[Abstract]Objective To analyzes the distribution characteristics and possible causes of cerebral artery stenosis between youth patients with ischemic stroke. Methods 228 patients were enrolled and they were divided into two groups: there were 110 cases in the youth group, there were 118 cases in the middle age group. Compared incidence of cerebral artery stenosis and distribution in both groups and analyzed the risk factors and etiology in patients with cerebral artery. Results The incidence of cerebral artery stenosis was 72.7% in the youth group, while it was 78.0 % in the middle age group. The risk factors of cerebral artery stenosis in young group were lower than that in middle age group. The incidence of atherosclerosis in young group was 89.1%, which was lower than that in middle age group, and the rate of vascular stenosis in young group was 21.2%, which was higher than that in middle age group 4.4%. Conclusion The incidences of cerebral artery stenosis in youth group are closely related to the middle age group. But the cryptogenic proportion is higher.

[Key words]Ischemic stroke, Cerebral arteriosclerosis stenosis

本文选取某院2013年2月～2014年11月收治的228例缺血性卒中患者作为研究对象，分成青年组和中年组，对其脑动脉狭窄发生率进行比较，探讨和分析青年缺血性卒中患者脑动脉狭窄的分布特点及病因。具体如下。