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Cerebrovascular risk factors for patients with cerebral watershed infarction

机译:脑分水岭梗死患者的脑血管危险因素

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摘要

To determine cerebrovascular risk factors for patients with cerebral watershed infarction (CWI) from Southwest China.Patients suffering from acute ischemic stroke were categorized into internal CWI (I-CWI), external CWI (E-CWI), or non-CWI (patients without CWI) groups. Clinical data were collected and degrees of steno-occlusion of all cerebral arteries were scored. Arteries associated with the circle of Willis were also assessed. Data were compared using Pearson chi-squared tests for categorical data and 1-way analysis of variance with Bonferroni post hoc tests for continuous data, as appropriate. Multivariate binary logistic regression analysis was performed to determine independent cerebrovascular risk factors for CWI.Compared with non-CWI, I-CWI had higher degrees of steno-occlusion of the ipsilateral middle cerebral artery, ipsilateral carotid artery, and contralateral middle cerebral artery. E-CWI showed no significant differences. All the 3 arteries were independent cerebrovascular risk factors for I-CWI confirmed by multivariate binary logistic regression analysis. I-CWI had higher degrees of steno-occlusion of the ipsilateral middle cerebral artery compared with E-CWI. No significant differences were found among arteries associated with the circle of Willis.The ipsilateral middle cerebral artery, carotid artery, and contralateral middle cerebral artery were independent cerebrovascular risk factors for I-CWI. No cerebrovascular risk factor was identified for E-CWI.
机译:为了确定中国西南地区脑分水岭梗死(CWI)患者的脑血管危险因素,将患有急性缺血性卒中的患者分为内部CWI(I-CWI),外部CWI(E-CWI)或非CWI(无CWI的患者) CWI)组。收集临床数据,并对所有脑动脉的狭窄闭塞程度进行评分。还评估了与威利斯环相关的动脉。使用分类数据的Pearson卡方检验比较数据,并使用Bonferroni事后检验对连续数据进行方差单向分析(1)(如果适用)。进行多元二元logistic回归分析来确定CWI的独立脑血管危险因素。与非CWI相比,I-CWI对同侧中脑动脉,同侧颈动脉和对侧中脑动脉的狭窄闭塞程度更高。 E-CWI没有显着差异。多元二元logistic回归分析证实,这3条动脉均为I-CWI的独立脑血管危险因素。与E-CWI相比,I-CWI对同侧大脑中动脉的狭窄闭塞程度更高。与威利斯环相关的动脉之间无显着差异。同侧大脑中动脉,颈动脉和对侧大脑中动脉是I-CWI的独立脑血管危险因素。未发现E-CWI有脑血管危险因素。

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