摘要
目的探讨秋冬季不同气候带迁徙后发生脑梗死患者的中国缺血性脑卒中分型(CISS)的特点。方法选择2012年9月~2017年2月由东北、华北、西北地区至海南过冬或旅游的,到海南3周内发生脑梗死就诊于解放军总医院海南分院的患者96例。记录所有患者的人口学特点、脑血管病危险因素、血液学及头颅影像学检查结果,根据病史及辅助检查,对患者进行影像学分型及CISS,对获取的资料进行相关统计分析。结果 96例患者中,CISS以穿支动脉病变型及大动脉粥样硬化型最常见,所占比例分别为50.0%和38.5%,心源性脑卒中型4.2%,原因不明型7.3%。大动脉粥样硬化型、心源性脑卒中型、穿支动脉病变型和不明原因型单发病灶与多发病灶有差异,单发病灶以穿支动脉病变型比例最高(69.6%),多发病灶以大动脉粥样硬化型比例最高(85.2%)。危险因素以高血压(70.8%)和糖代谢异常(61.5%)最常见。结论秋冬季不同气候带迁徙后发生脑梗死的患者以穿支动脉病变最常见,其次为大动脉粥样硬化,有高血压和糖代谢异常的患者秋冬季迁徙时,尤其需警惕脑梗死的发生。
Objective To study the characteristics of Chinese ischemic stroke subclassification（CISS）in relation with migration to different climatic zones in autumn and winter.MethodsNinety-six subjects who travelled from northeast China,northwest China and north China to Hainan Province from September 2012 to February 2017 and were admitted to our hospital due to cerebral infarction occurred within 3 weeks after they arrived at Hainan were included in this study.Their demographic data,risk factors for cerebrovascular disease,laboratory blood test and imaging parameters were recorded.The patients were classified according to their medical history,auxiliary examination findings and CISS.The recorded data were statistically analyzed.ResultsCISS showed that penetrating artery disease,large artery atherosclerosis,cardiogenic stroke,and undetermined etiology accounted for 50.0%,38.5%,4.2%,7.3% respectively.Hypertension（70.8%）and abnormal glucose metabolism（61.5%）were the major risk factors for cerebral infarction.Conclusion The incidence of penetrating artery disease is the highest,followed by that of large artery atherosclerosis in cerebral infarction patients.Alert to cerebral infarction should thus be stressed for those with hypertension and abnormal glucose metabolism who are going to travel in autumn and winter.
作者
李剑勇
熊建美
孙柳青
伍思婷
李燕
曹向宇
崔芳
Li Jianyong;Xiong Jianmei;Sun Liuqing;Wu Siting;Li Yan;Cao Xiangyu;Cui Fang(Department of Neurology, Hainan Branch of Chinese PLA General Hospital, San ya 572013, Hainan Province, China)
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2018年第5期500-503,共4页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
海南省自然科学基金(2018CXTD348)
关键词
脑梗死
气候
动脉粥样硬化
高血压
葡萄糖代谢障碍
brain infarction
climate
atherosclerosis
hypertension
glucose metabolism disorders
