在患有动脉样硬化性缺血性中风的绝经后患者中,中风复发和骨质疏松症
Byeong Jin Ha1, Sang Mook Kang1, Bo Mi Choi1
1Department of Neurosurgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri, 471-701, Gyonggi-do, Republic of Korea.
Heliyon
|May 9, 2024
概括
骨质疏松症可能会增加绝经后妇女复发性缺血性中风的风险. 通过CT扫描评估的骨矿物质密度预测了50岁以上女性中风复发的可能性.
科学领域:
- 神经学 神经学
- 血管生物学 血管生物学
- 老年学是一门学科.
背景情况:
- 脑卒中复发带来了显著的死亡风险.
- 动脉壁弹性组织的退化会加剧动脉样硬化.
- 在骨和血管细胞中发现1型原体的存在表明存在联系.
研究的目的:
- 研究绝经后妇女骨质疏松症和中风复发之间的关联.
- 确定骨质疏松症是否独立预测大动脉动脉样硬化 (LAA) 或小血管阻塞 (SVO) 的患者的复发性缺血性中风.
主要方法:
- 骨矿物质密度 (BMD) 通过使用前头骨CT扫描的Hounsfield单位进行评估.
- 多变量考克斯回归分析应用于2130名急性LAA或SVO中风患者 (≥50岁).
- 在分析中调整的共变量.
主要成果:
- 骨质疏松症被确定为中风复发的独立预测因子,女性患者≥50年LAA或SVO中风 (HR,1.84;95%CI,1.053.24;P=0.034).
- 这项研究包括2130名连续患者.
结论:
- 骨质疏松症可能会增加绝经后妇女缺血性中风复发的可能性.
- 骨质量评估可以帮助识别患有复发性中风风险较高的患者.
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