Related factors of progression of cerebral watershed infarction
10.3760/cma.j.issn.1671-8925.2015.12.010
- VernacularTitle:急性脑分水岭梗死进展发生的相关因素分析
- Author:
Hui XU
1
;
Yan FANG
;
Jingzhong WANG
;
Qingsong YANG
;
Weidong JI
;
Qin LIU
;
Ying ZHANG
Author Information
1. 476000,河南省商丘市第一人民医院神经内科
- Keywords:
Infarction;
Cerebral watershed;
Progressive cerebral infarction;
Stenosis
- From:
Chinese Journal of Neuromedicine
2015;14(12):1235-1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of progression of cerebral watershed infarction (CWI).Methods Ninety-three CWI patients, admitted to our hospital from January 2011 to January 2015, were divided into progressive CWI group (n=29) and non-progressive CWI group (n=64) according to the progression of CWI;general conditions, risk factors, vulnerable plaque in carotid arteries and stenosis of intracranial and extracranial arteries were compared between the two groups.Results No significant differences were found in age, gender, history of hypertension, coronary heart disease, stroke, hyperlipemia, hyperfibrinogenemia, smoking, alcohol drinking, NIHSS scores, temperature on admission and leukocytes counting between the two groups (P＞0.05).The percentages of patients with diabetes, decreasing of blood pressure and vulnerable plaque in carotid arteries in progressive CWI group were significantly higher than those in non-progressive CWI group (48.3％ vs.26.6％, 72.4％ vs.48.4％, 44.8％ vvs.21.9％, P＜0.05);percentage of patients with internal watershed infarction in progressive CWI group was significantly higher than that in non-progressive CWI group (27.6％ vs.9.4％, P＜0.05);meanwhile, percentages of patients with middle cerebral artery stenosis, multi intracranial and extracranial arteries stenosis in progressive CWI group were significantly higher than those in the non-progressive CWI group (24.1％ vs.7.8％, 27.6％ vs.9.4％, P＜0.05).Conclusion Diabetes, decreasing of blood pressure, vulnerable plaque in carotid arteries, internal watershed infarction, middle cerebral artery stenosis, and multi intracranial and extracranial arteries stenosis are the related factors for progressive CWI.
