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大动脉炎合并脑梗死49例临床分析
2020
Zhongguo cuzhong zazhi
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结果 共纳入49例患者, 首次脑梗死中位年龄30.0(22.0~45.0) 岁, 中位随访时间3.4(3.2~3.7)年。 11例 (22.4%) 出现复发性脑梗死, 两次脑梗死间隔中位时间8.0(5.0~88.0)个月。 与脑梗死无复发 患者相比,复发性脑梗死患者合并糖尿病比例(27.3% vs 2.6%, P=0.031)以及首次脑梗死后随访 期间平均TG水平(3.65±0.96 mmol/L vs 1.14±0.54 mmol/L, P=0.001)升高。大动脉炎受累动脉以颈 总动脉最为常见 (48/49, 98%) , 其次是椎动脉(40/49, 81.6%) , 受累血管病变性质以狭窄 (49/49, 100%)和闭塞(36/49, 73.5%)最常见。脑梗死复发组动脉闭塞比例 (100% vs 65.8%, P=0.024)和 动脉血栓发生率(45.5% vs 13.2%, P=0.033)均高于脑梗死无复发组。 治疗方面,脑梗死复发组抗 血小板治疗患者比例(63.6% vs 97.4%, P=0.007) 及接受血管重建术的患者比例 (27.3% vs 68.4%,
doi:10.3969/j.issn.1673-5765.2020.12.009
doaj:d366a9cdcf6d4fd1be22ee4133917100
fatcat:kkgfma6hnjdthmvjuqavdnbiti