无症状脑梗死的临床分析.docVIP

无症状脑梗死的临床分析 68???????????a???????h???K??2006??6?e?P3???P2?BJNeurolNeurorehabil,June2006,Vol.3,No.2 ???g???.???? ???????,???????g???J?? ?[?A???l?????f (?????v???5???:???????P???v???????????l????210001) [????I???????????????,????(silentbraininfarct,SBI)??CT??MRI?????,?z???C??(DSA)?????????????????C-8???8 ?????5?J??160???,???lt;???3???g???:???l?j?????????,?????????G?JSBI????SBI?D???l???D????????-6??????-6?g??????-6?? ?????????????????C?????????J??-8????SBI?????????U45%(72/160)?l???lt;???????U-6?k?0??-6??????????-6?????U?????? ??;SBI???????C?]???z??-6???8?z??-6???w???????b??;?????z???????o???aSBI?????B?????P?????l?l?????6?8?H???aSBI?? ???B?u??(Plt;0.05).??*MRI?]????SBI????????????;DSA???k?U?????z??;?????u?=?-?????????????C?l???????5?o?? ???L???????5?,?????????B?l?????B?v?%?????????g??-8 -i???*??-,???????,????;???????C;???,?z???C?? [?lt;???J????]R743.33[???*?N???6JA[?????1??]1672-7061(2006)02-0068-03 ClinicalAnalysisofSilentCerebralInfarction LiuChunmei?lJiangJiandong (DepartmentofNeurology?ltheFirstHospitalaffiliatedtoNanjingMedicalUniversity?lNanjing210001?lChina) [Abstract]ObjectiveToinvestigatethecharacteristicsofheadCT?lMill?landDSAexaminationofsilentcere- bralInfarction(SCI)andriskfactors.Methods160patientswithstrokewereanalyzedretrospectively.According tothedefinitionofSCI?ltheyweredividedintoSCIgroupandnon-SCIgroup.Theages?lincidencerate?lclinicalfea- tures?limagingcharacteristicsandriskfactorswerestatisticallyanalysedinthetwogroups.ResultsTheincidence rateofSCIamountedto45%(72/160).Theareaofbasalganglion?lcoronaradiata?lfrontallobe?lparietallobe?ltem- porallobewerethemostcommonpositions.TheriskfactorsofSCIincludedhypertension?lhypercholesterolemia?ldia- betesmellitus?landheartdisease.Thedegreeofintracranialangiostenosisisbasicallyrelevanttotheincidenceof SCI.VascularparamorphiahasarelevancetotheincidencerateofSCI(Plt;0.05).ConclusionMRIisoneof theimportantmethodsforconfirmativediagnosisofSCI;DSAcanshowthevascularabnormalitysoastoavoidthe riskfactors?lactivelypre