摘要
目的探讨基底动脉弯曲与后循环缺血的关系及临床意义。方法选择后循环缺血病人397例,按Giang等诊断标准将后循环缺血病人分为基底动脉弯曲组与基底动脉无弯曲组,分析基底动脉弯曲与后循环缺血的关系。结果 397例后循环缺血病人中,基底动脉弯曲者127例(32.0%),基底动脉无弯曲者270例(68.0%),基底动脉弯曲病人的年龄、高血压病、糖尿病、冠心病、高脂血症、高同型半胱氨酸血症的比率均显著高于基底动脉无弯曲病人,差异有统计学意义(P<0.05);经多因素Logistic回归分析显示,基底动脉弯曲是后循环缺血的独立危险因素。结论基底动脉弯曲与动脉粥样硬化密切相关,与后循环缺血的发生密切相关,是后循环缺血的独立危险因素。
引文
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