大动脉粥样硬化狭窄性脑梗死的危险因素
Journal of Clinical Neurology(2013)
Abstract
目的研究大动脉粥样硬化狭窄性脑梗死的危险因素。方法 186例脑梗死患者根据大动脉狭窄情况分为狭窄组(124例)及无狭窄组(62例)。收集患者的临床资料,检测其血同型半胱氨酸(Hcy)及血脂水平。采用Essen卒中风险评分量表(ESRS)对患者进行评分。采用多元Logistic回归分析大动脉狭窄性脑梗死的相关因素。结果狭窄组有高血压、高Hcy血症、高血压伴高Hcy血症及ESRS评分高危的比率均显著高于无狭窄组(均P<0.05)。多元Logistic回归分析显示,ESRS评分高危及高血压伴高Hcy血症是大动脉狭窄性脑梗死的独立危险因素(Wald值8.60、5.73;P<0.05~0.005)。结论 ESRS评分高危、高血压伴高Hcy血症是大动脉粥样硬化狭窄性脑梗死的独立危险因素。
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Key words
large-artery atherosclerotic stenosis,ischemic cerebral infarction,risk factors
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