大脑中动脉重度狭窄或闭塞患者脑侧支循环影响因素分析
摘要
目的探讨大脑中动脉重度狭窄或闭塞患者脑侧支循环形成的影响因素。方法选择2017年9月至2018年6月于我院神经内科住院的经DSA证实为单侧大脑中动脉重度狭窄或闭塞的急性脑梗死患者65例,收集患者的临床资料,根据DSA所示的侧支循环建立情况分为侧支良好组与侧支不良组,分析血管狭窄程度及相关危险因素对侧支循环建立的影响。结果重度狭窄者与闭塞者的侧支良好比率差异有统计学意义(P<0.05)。侧支不良组高血压病、糖尿病比率明显高于侧支良好组,差异有统计学意义(P<0.05)。结论血管狭窄程度严重有利于侧支循环生成,高血压、糖尿病不利于侧支循环建立。
引文
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[5]CIPOLLA M J,LIEBESKIND D S,CHAN S L 2018.The importance of comorbidities in ischemic stroke:Impact of hypertension on the cerebral circulation[J].J Cereb Blood Flow Metab,38:2129-2149.