胚胎型大脑后动脉与复发脑梗死相关性分析

目的研究胚胎型大脑后动脉与脑梗死复发之间的关系。方法回顾性收集2020年1月-2021年10月在包头医学院第二附属医院神经内科住院患者1017人,根据纳入和排除标准后943人进入分析研究,其中初发脑梗死620例,复发脑梗死323例。对比两组临床资料及胚胎型大脑后动脉发生率。对复发脑梗死相关危险因素进行单因素分析,进一步应用多因素Logistic回归方法进行独立危险因素分析。结果复发性脑梗死胚胎型大脑后动脉发生率明显高于初发型脑梗死(P<0.01),二元Logistic回归显示胚胎型大脑后动脉、高血压病、糖尿病、冠心病、家族史与脑梗死的复发相关,计算OR值分别为2.481、1.486、1.652、2.402,P值均<0.05。结论复发性脑梗死患者的胚胎型大脑后动脉发生率高于初发型脑梗死,胚胎型大脑后动脉是复发性脑梗死独立危险因素。

Correlation between fetal-type posterior cerebral artery(FTP)and recurrent cerebral infarction(RCI)

Objective To study the relationship between FTP and RCI.Methods A total of 1017 inpatients in the Department of Neurology,The Second Affiliated Hospital of Baotou Medical College from January 2020 to October 2021 were retrospectively collected.According to the inclusion and exclusion criteria,943 patients were included in the analysis,including 620 cases of initial cerebral infarction and 323 cases of RCI.The clinical data and incidence of FTP were compared between the two groups.Univariate analysis was performed on the risk factors of RCI,and multivariate Logistic regression was used to analyze the independent risk factors.Results The incidence of FTP in RCI was significantly higher than that in primary cerebral infarction(P<0.01),binary logistic regression showed that FTP,hypertension,diabetes mellitus,coronary heart disease and family history were correlated with the recurrence of cerebral infarction,and the calculated OR values were 2.481,1.486,1.652 and 2.402,respectively(P<0.05).Conclusion The incidence of FTP in patients with RCI is higher than that in patients with primary cerebral infarction and FTP is an independent risk factor for recurrent cerebral infarction.