[1]徐美杰.急性进展性后循环脑梗死血管因素研究进展[J].医学信息,2022,35(19):163-166.[doi:10.3969/j.issn.1006-1959.2022.19.047]
　XU Mei-jie.Research Progress of Vascular Factors in Acute Progressive Posterior Circulation Cerebral Infarction[J].Journal of Medical Information,2022,35(19):163-166.[doi:10.3969/j.issn.1006-1959.2022.19.047]
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急性进展性后循环脑梗死血管因素研究进展()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
163-166
栏目:
综述
出版日期:
2022-10-01

文章信息/Info

Title:
Research Progress of Vascular Factors in Acute Progressive Posterior Circulation Cerebral Infarction
文章编号:
1006-1959（2022）19-0163-04
作者:
徐美杰
（天津市西青医院神经内科，天津 300380）
Author(s):
XU Mei-jie
(Department of Neurology,Tianjin Xiqing Hospital,Tianjin 300380,China)
关键词:
脑梗死; 脑血管; 血管病变
Keywords:
Cerebral infarction; Cerebrovascular; Vascular disease
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2022.19.047
文献标志码:
A
摘要:
进展性脑梗死是临床常见疾病，具有发病率、病死率以及致残率高的特点。急性进展性脑梗死分为前循环脑梗死和后循环脑梗死，与前循环脑梗死比较，进展性后循环脑梗死致残率、死亡率更加显著，严重威胁患者的健康安全。目前，关于急性进展性后循环脑梗死的发病机制尚未完全明确，加之病理生理相关因素复杂，临床治疗难度较大。血压改变会影响血流动力学，改变缺血脑组织灌注，从而使脑梗死加剧、恶化。因此，血管因素在急性进展性后循环脑梗死中发挥重要的作用。本文对急性进展性后循环脑梗死相关血管因素研究进展进行综述，以期为临床治疗急性进展性后循环脑梗死提供新的方向。
Abstract:
Progressive cerebral infarction is a common clinical disease with high morbidity, mortality and disability. Acute progressive cerebral infarction is divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction. Compared with anterior circulation cerebral infarction, the disability rate and mortality of progressive posterior circulation cerebral infarction are more significant, which seriously threatens the health and safety of patients. At present, the pathogenesis of acute progressive posterior circulation cerebral infarction is not completely clear, and the pathophysiological factors are complex, so the clinical treatment is difficult. Changes in blood pressure will affect hemodynamics and change the perfusion of ischemic brain tissue, thus aggravating and worsening cerebral infarction. Therefore, vascular factors play an important role in acute progressive posterior circulation cerebral infarction. This article reviews the research progress of vascular factors related to acute progressive posterior circulation cerebral infarction, in order to provide a new direction for clinical treatment of acute progressive posterior circulation cerebral infarction.

参考文献/References:

[1]Irvine HJ,Battey TW,Ostwaldt AC,et al.Early neurological stability predicts adverse outcome after acute ischemic stroke[J].Int J Stroke,2016,11(8):882-889.[2]孙阿萍,刘向一,樊东升,等.延髓梗死的临床、影像学特点及预后分析[J].中华内科杂志,2016,55(5):361-365.[3]Nacu A,Bringeland GH,Khanevski A,et al.Early neurological worsening in acute ischaemic stroke patients[J].Acta Neurol Scand,2016,133(1):25-29.[4]孙宜南,郭艳霞,王雅娟.颈动脉系统短暂性脑缺血发作进展为脑梗死的血管因素分析[J].中国临床研究,2017,30(5):609-611.[5]Srinivasan V,Braidy N,Xu YH,et al.Association of genetic polymorphisms of claudin-1 with small vessel vascular dementia[J].Clin Exp Pharmacol Physiol,2017,44(6):623-630.[6]Haithem H,Ons A,Salma N,et al.Association between de- mentia and vascular disease-associated polymorphisms in a tunisian population[J].Int J Neurosci,2017,28:1-27.[7]袁丹,李冬华,王海鹏,等.不同部位急性脑梗死与血管性认知障碍的相关性[J].实用医学杂志,2017,33(11):1770-1773.[8]熊静,张婕,韩剑虹,等.症状性椎动脉狭窄与脑干和小脑梗死关系研究[J].中国医药导报,2016,11(28):75-78.[9]张芬.脑血管侧支循环评价在脑动脉硬化性血管狭窄介入治疗中的应用研究[J].山东大学,2016,30(4):730-733.[10]吴强.动脉粥样硬化脑梗死患者LP-PLA2水平与颅内外血管动脉粥样硬化及狭窄程度的相关性研究[J].河北医科大学,2017,3(1):116-118.[11]姜惠悦,姚公志,周璇,等.超声检测脑卒中患者颈、椎动脉粥样硬化与血流动力学临床分析[J].中国现代医药杂志,2018,20(2):77-79.[12]Amin-Hanjani S,Turan TN,Du X,et al.Higher Stroke Risk with Lower Blood Pressure in Hemodynamic Vertebrobasilar Disease: Analysis from the VERiTAS Study[J].J Stroke Cerebrovasc Dis,2017,26(2):403-410.[13]侯晓强,李壬子.选择脑微出血与椎-基底动脉形态在脑干梗死中的相关性研究[J].脑与神经疾病杂志,2019,27(3):186-188.[14]van der Hoeven EJ,Dankbaar JW,Algra A,et al.Additional diagnostic value of computed tomography perfusion for detection of acute ischemic stroke in the posterior circulation[J].Stroke,2016,46(4):1113-1115.[15]Chen Z,Jiang B,Ru X,et al.Mortality of Stroke and Its Subtypes in China: Results from a Nationwide Population-Based Survey[J].Neuroepidemiology,2017,48(3-4):95-102.[16]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.[17]Chuang YM,Chan L,Lai YJ,et al.Configuration of the circle of Willis is associated with less symptomatic intracerebral hemorrhage in ischemic stroke patients treated with intravenous thrombolysis[J].J Crit Care,2016,28(2):166-172.[18]吴钢,许映雪,胡志坚.后循环脑梗死的相关危险因素及可能影响预后因素分析[J].中华神经医学杂志,2016,14(1):37-42[19]赵景茹,陈景红,冯荣芳,等.后循环梗死的临床特点及危险因素分析[J].脑与神经疾病杂志,2016,24(8):484-488.[20]李艳艳.伴颅内大动脉狭窄的青年急性腔隙性脑梗死患者血管危险因素和分布特征分析[J].新乡医学院,2016,11(2):80-83.[21]Glasser SP,Mosher A,Howard G,et al.What is the association oflipid levels and incident stroke[J].Int J Cardiol,2016,220:890-894.[22]邱雷雨,龚向阳.脑梗塞高信号血管征与脑血管狭窄及Willis环完整性的相关研究[J].中国临床医学影像杂志,2016,3(11):156-159.[23]杜锐莉,刘筠,穆宁,等.MSCTA联合CTPI对脑动脉狭窄/闭塞后侧支循环的评价[J].临床放射学杂志,2019,38(5):792-795.[24]陈芳,丁宝忠,张青青,等.中青年脑梗死患者血清同型半胱氨酸、颈动脉内膜中层厚度的变化及意义[J].山东医药,2016,56(14):80-82.[25]马双喜.急性脑梗死与颈动脉硬化斑块的相关性分析[J].中国实用神经疾病杂志,2016,19(17):86-87.[26]高长玉,吴成翰,赵建国,等.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018,38(2):136-144.[27]曲明卫,吴慧君,王立敏,等.急性脑梗死患者颈动脉斑块性质与血清胱抑素C及神经肽Y水平的关系[J].中国煤炭工业医学杂志,2017,20(11):1329-1332.[28]唐天萍,高宗恩,陈晓辉,等.H型高血压与急性脑梗死患者颅内外动脉中-重度狭窄的关系[J].中国脑血管病杂志,2018,15(10):530-533.[29]Zang R,Zhang H,Xu Y,et al.Serum C-reactive protein,fibrinogen and D-dimer in patients with progressive cerebral infarction[J].Ranslational Neuroscience,2016,7(1):84-88.[30]王芳,童璐伦.rt-PA溶栓治疗急性脑梗死安全性与时效性探讨[J].九江学院学报(自然科学版),2018,33(2):84-85,105.[31]吴水平.介入治疗缺血性脑血管疾病的中长期预后及安全性临床研究[J].中西医结合心脑血管病杂志,2016,14(3):308-310.[32]陈斌,金林,张冬子,等.颅内血管介入治疗缺血性脑血管病的疗效及预后分析[J].现代生物医学进展,2017,17(6):1131-1134.[33]吴永斌,姬滢,汤纳.缺血性脑血管病患者行血管内介入及单纯药物治疗的效果对比[J].中国生化药物杂志,2017,37(9):354-356.[34]王武华,邓小纯,胡凌.多模式CT对缺血性卒中脑侧支循环的评估价值[J].中国脑血管病杂志,2016,13(2):67-71.

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更新日期/Last Update: 1900-01-01