急性脑梗死和短暂性脑缺血发作患者脑微出血的相关危险因素比较分析

目的 比较急性脑梗死（ACI）与短暂性脑缺血发作（TIA）患者脑微出血的危险因素及TOAST分型的差异.方法 选取40例伴有脑微出血患者,根据患者的病情分类分为ACI组（24例）和TIA组（16例）.以年龄、血压和血脂等为危险因素,比较两组患者危险因素的差异;同时将两组患者分别进行TOAST亚型分类,比较两组患者TOAST分型的差异.结果 ACI组患者年龄（73.3±4.1）岁,伴有高血压和脑白质疏松症的患者比例分别为95.8％（23/24）,70.8％（17/24）,明显高于TIA组的（65.5±5.6）岁,13/16,9/16,差异有统计学意义（P＜0.05）.ACI组大动脉粥样硬化性和心源性的患者所占比例分别为75.0％（18/24）,16.7％（4/24）,明显高于TIA组的8/16和1/16,差异有统计学意义（P＜ 0.05）;ACI组小动脉闭塞性患者所占比例为8.3％（2/24）,明显低于TIA组的7/16,差异有统计学意义（P＜0.05）.结论 ACI和TIA患者脑微出血的相关危险因素存在差异性.

Correlative risk factor comparison of mild hemorrhage between patients of acute cerebral infarction and transient ischemia attack

Objective To compare the risk factors of mild hemorrhage and diiferences of TOAST type in patients with acute cerebral infarction （ACI） and transient ischemia attack （TIA）.Methods Forty patients with mild hemorrhage were divided into ACI group（24 cases） and TIA group（16 cases） according to disease classification.Risk factors such as age,blood pressure,blood lipid and so on between 2 groups were compared,TOAST subtype differences of 2 groups were compared.Results The age [（73.3 ± 4.1） years],the ratio of hypertension [95.8%（23/24）],leukoaraiosis [70.8%（17/24）] in ACI group was significantly higher than that in TIA group [（65.5 ± 5.6） years,13/16,9/16],there was significant difference （P 〈 0.05）.The ratio of large-artery atherosclerosis and cardioembolism in ACI group [75.0% （18/24） and 16.7% （4/24）] was significantly higher than that in TIA group （8/16 and 1/16）,there was significant difference （P 〈 0.05）.But the ratio of small artery occlusion in ACI group [8.3% （2/24）] was significantly lower than that in TIA group （7/16）,there was significant difference （P 〈 0.05）.Conclusion Correlative risk factors of milde hemorrhage in ACI and TIA patients have significant differences.