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急性进展性脑梗死及颅内外动脉病变相关多因素分析

Analysis of multiple factors involved in acute progressive cerebral infarction and extra- and intracranial arterial lesions.

作者信息

Chen Yuefu, Liu Yajie, Luo Chenghong, Lu Weiheng, Su Binru

机构信息

Department of Neurology, Shilong People's Hospital, Southern Medical University, Dongguan, Guangdong 523326, P.R. China.

Department of Neurology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China.

出版信息

Exp Ther Med. 2014 Jun;7(6):1495-1505. doi: 10.3892/etm.2014.1624. Epub 2014 Mar 14.

Abstract

In order to identify the potential factors involved in the development of acute progressive cerebral infarction (PCI), the association between potential risk factors and extra- and intracranial arterial lesions was investigated. A total of 608 patients underwent cerebral angiography to analyze the morphological characteristics between the PCI and NPCI groups. In addition, data from numerous cases of extra- and intracranial arterial lesions were collected and compared with the control groups, and the associations between the severity of arterial lesions and the potential influential factors were analyzed. In the blood vessels responsible for cerebral infarction, various degrees of atherosclerotic plaques and stenosis were observed. Age, high-density lipoprotein (HDL) levels, glycosylated hemoglobin and blood pressure affected the degrees of hardening, plaques and stenosis. Analysis of cerebral artery stenosis revealed that age, diabetes mellitus and plasma fibrinogen were risk factors for cerebral artery stenosis, while the HDL/low density lipoprotein ratio was a protective factor. Therefore, the results of the present study indicate that the lesions of blood vessels are a major pathological change in PCI and multiple factors are involved in the pathogenesis.

摘要

为了确定与急性进展性脑梗死(PCI)发生相关的潜在因素,研究了潜在危险因素与颅内外动脉病变之间的关联。共有608例患者接受了脑血管造影,以分析PCI组和非PCI组之间的形态学特征。此外,收集了大量颅内外动脉病变病例的数据,并与对照组进行比较,分析了动脉病变严重程度与潜在影响因素之间的关联。在负责脑梗死的血管中,观察到了不同程度的动脉粥样硬化斑块和狭窄。年龄、高密度脂蛋白(HDL)水平、糖化血红蛋白和血压影响硬化、斑块和狭窄程度。脑动脉狭窄分析显示,年龄、糖尿病和血浆纤维蛋白原是脑动脉狭窄的危险因素,而HDL/低密度脂蛋白比值是保护因素。因此,本研究结果表明,血管病变是PCI的主要病理变化,发病机制涉及多种因素。

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