The relationship between the onset of cerebral infarction in anterior and posterior circulation and the"three high" risk factors in Guangzhou communities
10.3969/j.issn.1006-5725.2018.06.006
- VernacularTitle:广州社区前后循环脑梗死发病与"三高"危险因素的关系
- Author:
Huiling LI
1
;
Xingyan DENG
;
Mou ZENG
;
Juan AN
;
Xiaotao FANG
;
Yuechun SHEN
;
Zuojun TIAN
Author Information
1. 广州医科大学附属第一医院急诊科 广州510120
- Keywords:
cerebral infarction in anterior circulation;
cerebral infarction in posterior circulation;
risk fac-tor;
community study
- From:
The Journal of Practical Medicine
2018;34(6):897-900,905
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between the onset of cerebral infarction in anterior and posterior circulation and the "three high" risk factors in Guangzhou communities. Methods From Jan. 2014 to Jan.2016,367 patients from Guangzhou communities were diagnosed with new cerebral infarction by head diffu-sion weighted imaging(DWI).The data were divided into two groups of anterior and posterior circulation,and uni-variate and multivariate methods were used to analyze the relationship between the "three high" and other risk factors and the onset of cerebral infarction in anterior and posterior circulation.The data of anterior circulation cere-bral infarction were further divided into two subgroups of lacunar and non-lacunar infarction,and the same statisti-cal methods were employed to analyze differences of risk factors between the two subgroups. Results The frequen-cies of hypertension(P = 0.040)and large atherosclerotic infarction(P = 0.012)were significantly higher,and the serum high-density lipoprotein(HDL)level(P = 0.045)was significantly lower in posterior circulation than those in anterior circulation,respectively;and the onset of posterior circulation cerebral infarction was more associ-ated with the incidence of hypertension(OR = 1.767,P = 0.035)and the decrease of HDL(OR = 0.380,P =0.021). In anterior circulation,the levels of systolic blood pressure(SBP)(P = 0.011)and diastolic blood pres-sure(DBP)(P=0.000),as well as the frequency of large atherosclerotic infarction(P=0.000)in non-lacunar infarction subgroup were significantly higher than those in lacunar infarction subgroup respectively,and the onset of non-lacunar infarction was more closely related to increased SBP levels(OR=1.045,P=0.001). Conclusions Among the"three high"risk factors,the onset of posterior circulation cerebral infarction is more closely related to the incidence of hypertension and the decrease of HDL.In anterior circulation,and the onset of non-lacunar infarc-tion is more closely related to the increased levels of DBP and SBP,especially to the elevated levels of SBP.
