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脑动脉硬化和脑血栓形成是严重危害中老年人健康、降低患者生活工作能力的常见缺血性脑血管病。及时防治有助于减少疾病严重予后的发生。本文报告341例缺血性脑血管病血液流变学多项指标观察和身体状况调查,以期对该病的防治作进一步探讨。 临床资料与检查方法 一、临床分组: 全部患者均系1988年6月～12月我院神经内科门诊及住院病人,按临床诊断分为1.对照组78例:选择45岁以上非脑血管病患者(血管神经性头痛、眩晕症、脊髓病变、颈椎病,变性病,神经衰弱等)69例和正常体检者9例;2.脑动脉硬化组196例:有脑部供血不足之临床症状,体检有眼底动脉硬化和高血压而无其它阳性体征;3.脑血栓组145例;除有神经功能障碍的临床症状体征外,均由头颅CT检查所证实,71％系新近发病,29％为恢复后遗症期病人。各组患者年龄无显著差异(表1)。
Cerebral arteriosclerosis and cerebral thrombosis is a common ischemic cerebrovascular disease that severely endangers the health of the elderly and reduces the ability of patients to work and live. Timely prevention and treatment can help reduce the incidence of serious illness. This article reports 341 cases of ischemic cerebrovascular disease, a number of indicators of hemorheology and physical status survey to investigate the prevention and treatment of the disease for further. Clinical data and examination methods First, the clinical grouping: All patients were Department of Neurology outpatient and inpatient in our hospital from June 1988 to December, according to clinical diagnosis is divided into 1. Control group of 78 patients: 45-year-old choice of non-cerebrovascular disease 69 cases of patients with vascular neuropathic headache, vertigo, myelopathy, cervical spondylosis, degenerative diseases, neurasthenia, etc. and 9 cases of normal physical examination; 2. 196 cases of cerebral arteriosclerosis: clinical symptoms of insufficient blood supply to the brain, Physical examination had arteriosclerosis and hypertension without any other positive signs.3. In the cerebral thrombosis group, 145 cases had clinical signs and symptoms except neurological dysfunction, as confirmed by head CT examination, 71% were newly diagnosed and 29% were Recovery sequelae patients. There was no significant difference in age between groups (Table 1).