冬季与夏季椎-基底动脉系统短暂性脑缺血发作临床特点比较.pdfVIP

• 1342 • 《临床萎萃)) 2014 年 12 月 5 日第 29 卷第 12 期 Clinical Focus.December 5.2014. Vol 29 .No. 12 ·论著· 冬季与夏季椎-基底动脉系统短暂性脑缺血发作 临床特点比较 郭明升1 ，李薇2 (l.冀中能源峰峰集团总医院神经内科，河北嘟嘟 056200; 2. 解放军 306 医院神经内科，北京 10010 1) 摘 要:目的 探讨冬、夏季节椎-基底动脉系统短暂性脑缺血发作 (VBAS-TIA) 患者临床特点的差别。方法 225 例 VBAS-TIA 患者按照发病时间分为冬季纽034 例)和夏季纽 (91 例) .比较纽间的性别、年龄和伴发高血压、糖 尿病、高脂血症、心脏病的例数;比较纽间的血压、左心室射血分数、心输出量、颈部血管血流速度以及颈动脉粥样硬化 (AS) 、重度狭窄、椎动脉迂曲/纤细的例数。结果 与冬季组比较，夏季组患者的年龄较轻、男性和伴发高血压、高脂 血症的例数均较少 (P0.05);伴发糖尿病、心脏病的例数均差异元统计学意义 ( P 0. 05) 。与冬季纽比较，夏季纽 患者的血压、颈部血管血流速度以及 AS、重度狭窄、椎动脉迂曲/纤细的例数均较少 ( P 0.01);左心室射血分数、心 输出量的比较均差异无统计学意义 ( P 0. 05) 。结论 季节因素可能影响着不同时期 VBAS-TIA 的临床特点。 关键词:脑缺血发作，短暂性 g椎底动脉供血不足;季节;冬季;夏季 中图分类号: R743.31 文献标识码 :A 文章编号: 1004-583X(2014 )12-1342-03 doi: 10. 3969/j. issn. 1004-583X. 2014. 12.006 Clinical characteristics of vertebral basilar artery system transient ischemic attack in winter and summer GUO Ming-sheng l ,LI Wei 2 1. Department 01 Neurology. General Hos户tal 01 Fengleng Grouρ 01 ] izhong Energy Source 。mpany Limited , Handan 056200. αina ;2. Deρartment 01 Neurology. 306 Hosρital 01 PLA ,Beijing 100101 ，αina Corresρonding author:LI Wei .Email:liweidotor@yeah.net ABSTRACT: Objective To explore the difference of clinical characteristics of vertebral basilar artery system transient ischemic attack( VBAS-TIA) in winter and summer. Methods According to the time of onset , 225 patients with VBAS-TIA were divided into winter group (n =134) and summer group (n =91). Then , gender , age and the numbers of patients complicated with hypertension , hyperlipidemia , diabetes and heart disease in the two groups were compared. Meanwhile , blood pressure , left ventricular 句ection fraction , cardiac output , neck vascular blood flow velocity and the numbers of patients suffering from atherosclerosis(A凹， stenosis and vertebral artery tortuosity/slim were also compared. Results Patients in the summer group were younger than those in the winter group and there were less male patients in the summer group ( P 0.0日.