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颈动脉狭窄或闭塞后侧支循环影响因素的探讨 被引量：2

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摘要 目的探讨颈动脉狭窄或闭塞后侧支循环形成的相关因素。方法通过分析142例颈动脉狭窄（≥70%）侧支分级及临床资料,利用Binary Logistic回归分析,评估性别、年龄、高血压、糖尿病及其病程、脂代谢紊乱、高同型半胱氨酸血症、吸烟史、饮酒史、高血压和卒中家族史、有无椎动脉狭窄和颅内狭窄及狭窄程度对侧支循环形成的影响。结果单因素分析显示高血压病程、糖尿病、狭窄程度、是否合并椎动脉狭窄及高同型半胱氨酸血症、血清低密度脂蛋白均影响侧支循环的形成（P〈0.05）;多因素分析显示狭窄程度、合并椎动脉狭窄、高血压病程与侧支循环形成独立相关,其中狭窄程度的影响最大（OR=1.257,95%CI=1.135~1.393）。结论颈动脉狭窄后侧支循环的形成是一个多因素作用的结果,常见的卒中危险因素并不能预测侧支的形成。
作者 罗国君 杜玲 王云甫 何国厚
机构地区 郧阳医学院附属太和医院神经内科
出处 《重庆医学》 CAS CSCD 北大核心 2009年第20期2613-2615,共3页 Chongqing medicine
关键词 颈动脉狭窄 闭塞 侧支循环
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献7

  • 1Liebeskind DS. Collateral circulation[J]. Stroke, 2003,34 (21) :2279.
  • 2刘彦,陈绍良,刘志忠.冠状动脉侧支循环形成的相关因素及其临床意义[J].临床心血管病杂志,2006,22(11):668-671. 被引量：5
  • 3Dwewey M, Dbbel HP. Coronary collaterals[J]. Eur Heart J, 2005,26(24):2595.
  • 4Nagai Y, Tasaki H, Miyamoto M, et al. Plasma level of homocysteine is inversely associated with the development of collateral circulation in patients with single vssel coronary artery disease[J]. Cire J ,2002,66(2) : 158.
  • 5王拥军主编.新理论与新实践[M].北京:中国大百科全书出版社,2006:208.
  • 6Henderson RD, Eliasziw M, Fox AJ. et al. Angiographieally defined collateral circulation and risk of stroke in patients with severe earotidartery stenosis[J]. Stroke,2000,31(1):128.
  • 7Kitagawa K, Yagita Y, Sasaki T, et al. Chronal mild reduction of cerebral perfusion pressure induces isehemic tolerance in focal cerebral isehemia[J]. Stroke, 2005,36 (20) :2270.

二级参考文献15

  • 1WAHL A, BILLINGER M, FLEISCH M, et al.Pathophysiology of coronary collateral circulation inthe human[J]. Schweiz Med Wochenschr, 1998,128:1527-1537.
  • 2ABOUL-ENEIN F, KAR S, HAYES S W,et al. Influence of angiographic collateral circulation on myocardial perfusion in patients with chronic total occlusion of a single coronary artery and no prior myocardial infarction[J]. J Nucl Med,2004,45:950-955.
  • 3GATZOV P, MANGINAS A, VOUDRIS V, et al.Blood flow velocity in donor coronary artery depends on the degree and pattern of collateral vessel development: a study using thrombo-lysis in myocardial infarction frame count method[J]. Catheter Cardiovasc Interv,2003,60 : 462-468.
  • 4OZDEMIR O, SOYLU M, DEMIR A D,et al. Collaterals that regressed after angioplasty can be recruited to protect the left ventricle in case of an acute occlusion[J]. Angiology, 2005,56 : 517 - 523.
  • 5KOERSELMAN J, de JAEGERE P P, VERHAAR M C,et al. Prognostic significance of coronary collaterals in patients with coronary heart disease having percutaneous transluminal coronary angioplasty [J].Am J Cardiol, 2005,96 : 390-394.
  • 6RENTROP K P, COHEN M ,B LANKE H, et al. Changes in collateral channel filling immediately after controlled coronary artery occlusion by angioplasty balloon in human subjects[J]. J Am Coll Cardiol, 1985, 5:587-592.
  • 7ATONY I,NITENBERG A,FOULT J M,et al. Coronary vasodilator reserve in untreated and treated hypertensive patients with and without left ventricular hypertrophy[J]. J Am Coll Cardiol ,1993,22:514- 520.
  • 8MELIDONIS A,TOURNIS S, KOUVARAS G, et al. Comparison of coronary collateral circulation in diabetic andnondiabetic patientssuffering from coronary artery disease[J]. Clin Cardiol, 1999, 22 : 465 - 466.
  • 9OLIJHOEK J K, KOERSELMAN J, de JAEGERE P P,et al. Presence of the metabolic syndrome does not impair coronary collateral vessel formation in patients with documented coronary artery disease[J]. Diabetes Care,2005 ,28:683-689.
  • 10ABACI A, OGUZHAN A, KAHRAMAN S, et al.Effect of diabetesmellitus on formation of coronary collateral vessels [J]. Circulation, 1999,99:2239 -2240.

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重庆医学
2009年 第20期

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