论文部分内容阅读
目的 探讨腔隙性脑梗死 (LCI)的危险因素 ,测定 84例LCI患者的血糖、血脂、血流变学指标及高血压心肌缺血等与LCI的关系。方法 84例均行头颅CT检查 ,并做血脂、血糖及血液流变学等检测。结果 84例患者中安静状态下起病 6 3例 (75 % ) ,情绪激动或劳累后起病 2 1例 (2 5 % ) ;高血压 46例 (5 4.8% ) ,高脂血症 2 4例 (2 8.7% ) ,心肌缺血 2 2例 (2 6 .2 % ) ,糖尿病 16例 (19.1% ) ;基底节区 43例(5 1.19% ) ,放射冠区 8例 (9.5 2 % ) ,内囊 9例 (10 .71% ) ,额叶 7例 (8.33 % )。结论 LCI病灶主要位于基底节区 ,高血压病是LCI的主要原因 ,心肌缺血、糖尿病、高脂血症及血液流变学异常是危险因素。
Objective To investigate the risk factors of lacunar infarction (LCI) and to determine the relationship between LCI and blood glucose, blood lipid, hemorheology and hypertensive myocardial ischemia in 84 patients with LCI. Methods 84 patients underwent head CT examination, and blood lipids, blood glucose and blood rheology tests. Results In 84 patients, 63 (75%) were found to be sedentary, 21 (25%) were agitated or tired, 46 (58.4%) were hypertensive, (8.7%), myocardial ischemia in 22 cases (22.6%) and diabetes mellitus in 16 cases (19.1%), basal ganglia in 43 cases (5.19% , 9 cases (10.71%) of internal capsule and 7 cases (8.33%) of frontal lobe. Conclusions LCI lesions are mainly located in the basal ganglia. Hypertension is the major cause of LCI. Myocardial ischemia, diabetes mellitus, hyperlipidemia and hemorheological abnormalities are risk factors.