高龄后循环脑梗死患者的临床特点分析-论文.pdf

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1、·83O·中华老年心脑血管病杂志2014年8月第l6卷第8期ChinJGeriatrHeartBrainVesselDis，Aug20l4，Vol16，No．8临床研究．高龄后循环脑梗死患者的临床特点分析刘猛，吴坚，盛世英，练学淦，唐晓春，姜晴睛，陈利民摘要：目的探讨高龄后循环脑梗死患者的发病危险因素、临床表现、影像学特点和预后。方法选择522例老年急性后循环脑梗死患者，依据年龄分为高龄组152例(≥8O岁)和老年组370例(60～79岁)。比较2组患者的临床症状、影像学资料和发病危险因素，并在病后30d进行改

2、良Rankin量表评估分析预后。结果与老年组比较，高龄组头晕和双侧肢体乏力、心房颤动比例明显升高(42．11VS29．73、7．89WS3．24、17．11VS10．00，P<0．05，P<0．01)。高龄组最常累积后循环血管的中段和远段。与老年组比较，高龄组枕叶单发梗死和多发梗死明显升高；预后不良比例明显升高(28．29VS17．57，P<0．01)。结论高龄后循环脑梗死患者在发病危险因素、临床表现以及影像学特点均与老年后循环脑梗死患者存在差异，高龄后循环脑梗死患者预后相对较差。关键词：脑梗死；头晕；心房颤动

3、；枕叶；危险因素；预后Clinicalcharacteristicsofadvance—agedposteriorcirculationischemicstrokepatientsLIUMeng，WUJian，SHENGShi—ying，etal(Department0／’Neurology，ThirdAffiliatedHospitalofSuzhouUniversity，Changzhou213003，JiangsuProvince，China)Abstract：0bjectiveTostudytheris

4、kfactors，clinicalmanifestations，radiologicalfeaturesandoutcomeofadvance—agedposteriorcirculationischemicstrokepatients．MethodsFivehundredandtwenty——twoposteriorcirculationischemicstrokepatientswiththeirage>／-60yearsweredi—videdinto≥80yearsoldgroup(”===152)an

5、d60—79yearsoldgroup(一370)．Theirriskfac—tors．clinicalmanifestations，radiologicaldataandoutcomewerecomparedaccordingtOthemodi—fledRankinScale(mRS)onday30afteronsetofposteriorcirculationischemicstroke．ResultsTheincidenceofdizziness，bilaterallimbweaknessandatria

6、lfibrillationwassignificantlyhigherin≥80yearsoldgroupthanin60—79yearsoldgroup(42．11VS29．73，7．89"US3．24％，17．11VS10．00，P<0．05，P<0．01)．Themostcommonlyinvolvedwerethemiddleanddistalsegmentsofposteriorcirculationvesselsinadvance·—agedposteriorcirculationischemics

7、trokepa—tients．Occipitallobeinfarctionwasmorecommonandtheoutcomewaspoorerin≥8Oyearsoldgroupthanin60—79yearsoldgroup(28．299／6s17．57，P

8、patientsaredifferentfromthoseofagedposteriorcirculationischemicstrokepatients．Theoutcomeispoorerinadvance—agedposteriorcirculationischemicstrokepatientsthaninagedpos—teriorcirculationischemicstr