本文選題：顱內(nèi)動(dòng)脈粥樣硬化斑塊 + 缺血性卒中復(fù)發(fā)��； 參考：《中國腦血管病雜志》2017年07期

【摘要】：目的探討顱內(nèi)動(dòng)脈粥樣硬化斑塊穩(wěn)定性與卒中復(fù)發(fā)風(fēng)險(xiǎn)的關(guān)系。方法回顧性分析廣東省中醫(yī)院48例由顱內(nèi)動(dòng)脈粥樣硬化引起的急性缺血性卒中患者,采用Essen卒中風(fēng)險(xiǎn)評(píng)分量表(ESRS)將患者進(jìn)行危險(xiǎn)因素評(píng)估后,分為ESRS≥3分組(高危復(fù)發(fā)風(fēng)險(xiǎn)組21例)和ESRS3分組(低危復(fù)發(fā)風(fēng)險(xiǎn)組27例)。兩組患者均接受顱內(nèi)責(zé)任血管(基底動(dòng)脈或單側(cè)大腦中動(dòng)脈)的高分辨率核磁共振(HR-MRI)檢查,依據(jù)HR-MRI在T1加權(quán)成像、T2加權(quán)成像及T1壓脂序列等的信號(hào)強(qiáng)弱,區(qū)分顱內(nèi)動(dòng)脈粥樣硬化穩(wěn)定性斑塊與不穩(wěn)定性斑塊。比較兩組患者顱內(nèi)動(dòng)脈粥樣硬化斑塊穩(wěn)定情況。結(jié)果兩組患者的年齡、高血壓病、糖尿病及不穩(wěn)定性斑塊的發(fā)生率差異有統(tǒng)計(jì)學(xué)意義(均P0.05)。將這四個(gè)因素進(jìn)一步進(jìn)行多因素Logistic回歸分析顯示,年齡、高血壓病、糖尿病及顱內(nèi)動(dòng)脈粥樣硬化不穩(wěn)定性斑塊是缺血性卒中復(fù)發(fā)的高危因素。其OR值分別為87.114、159.423、8.942、11.551,95%CI分別為4.218~1 799.078、3.235~7 855.957、1.054~75.857、1.011~132.043(均P0.05)。結(jié)論除年齡、高血壓病、糖尿病傳統(tǒng)危險(xiǎn)因素外,顱內(nèi)動(dòng)脈粥樣硬化不穩(wěn)定性斑塊是缺血性卒中高危復(fù)發(fā)的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective to investigate the relationship between the stability of intracranial atherosclerotic plaque and the risk of stroke recurrence. Methods 48 patients with acute ischemic stroke caused by intracranial atherosclerosis in Guangdong Provincial Hospital of traditional Chinese Medicine were retrospectively analyzed. The risk factors were evaluated by Essen Stroke risk scale (ESRS). They were divided into ESRS 鈮，

本文編號(hào)：2053372