临床误诊误治2012，Vol.25Issue(9)：70-73,4.DOI:10.3969/j.issn.1002-3429.2012.09.033
急性脑梗死改良TOAST分型与踝臂指数、颈动脉彩超及相关危险因素分析
Analysis of the Modified TOAST Classification with ABI, Carotid Ultrasonography and Correlated Risk Factors in Acute Cerebral Infarction
摘要
Abstract
Objective To observe the composition of the modified trial of Org 10172 in acute stroke treatment (M-TO AST) classification in acute cerebral infarction and to analyze the distribution differences between common risk factors, unwonted ankle-brachial index (ABI) and carotid ultrasonography for cerebral infarction. Methods Retrospective analysis of clinical data of 150 patients with acute cerebral infarction admitted during October 2010 and May 2011 were conducted according to etiology classification by the M-TOAST standard, and the relative analysis between common risk factors, unwonted ABI, carotid ultrasound and TOAST subtypes was also made. Results The distribution of ischemic stroke subtypes according to M-TOAST criteria was 101 patients (67.3%) with atherosclerotic thrombosis (AT), 14 patients (9.3%) with small artery occlusion disease (SAD), 23 patients (15.3% ) with cardiogenic embolism (CE), 9 patients (6% ) with stroke of other undetermined etiology disease (SOD) and 3 patients (2% ) with stroke of other undemonstrated etiology disease (SUD). The proportion of smoking and hypertension in risk factors of stroke were higher in all groups, but there was no statistical significance (P>0. 05). The differences in diabetes mellitus, Hpid disorders, ABI abnormity and carotid arteries hyperacoustic abnormity of patients with different types of cerebral infarction were statistically significant, the proportion of AT combined with lipid metabolism disorders was higher than that of SAD and CE group ( P — 0. 03, 0.03) , and there was no statistical significance between the two groups ( P — 0. 8). The unwonted proportion of carotid ultrasonography in AT group was higher than that of SAD and CE group (P < 0. 01 ) , and there was no statistical significance between the two groups (P—0. 8). The proportion of CE combined with heart disease was significantly higher than that of AT and SAD group (P<0.01). The proportion of SAD combined with diabetes was significantly higher than that of AT and CE groups ( P = 0.04,0. 01). The unwonted index of ABI in CE group was significantly higher than that of AT and SAD groups (P = 0. 03). Conclusion The AT type is the most common type in the M-TOAST classification. It is likely be correlated to smoking, hypertension, lipid disorders, carotid ultrasonography abnormalities and AT just as diabetes is to the SAD.关键词
脑梗死/改良TOAST卒中分型/踝臂指数/颈动脉彩超Key words
Cerebral infarction/ M-TOAST classification/ Arm index/ Carotid ultrasonography分类
医药卫生引用本文复制引用
玛依努尔·买买提,李红燕,党辉,何晓燕,王成凤,白婷迪娜,朱沂..急性脑梗死改良TOAST分型与踝臂指数、颈动脉彩超及相关危险因素分析[J].临床误诊误治,2012,25(9):70-73,4.基金项目
新疆维吾尔自治区自然科学基金课题(2010211A) （2010211A）
