关键词: 视网膜; 脑缺血; 危险因素; 颈动脉疾病

Abstract: Objective To compare the differences of risk factor between acute retinal ischemic event(ARIE)and acute hemisphere ischemic event(AHIE).Methods Single center, cross-section descriptive study. Consecutive cases of acute ischemicretinopathy patients(ARIE) and acute ischemic cerebrovascular disease patients(AHIE) werecollected prospectively from January 2008 to January 2009. Clinical data were recorded and databetween ARIE and AHIE were compared and statistically analyzed by SPSS11.5 software.Results Totally 124 ARIE cases and 126 AHIE patients were included. ARIE patients(53±16yearsold) were statistically younger than AHIE patients(67±12 years old)(P <0.01). No statisticallysignificant difference regard to gender, smoking, alcohol, hyperlipidemia, ischemic heart diseasewas found between ARIE and AHIE(P >0.05). Hypertension(P <0.01), diabetes mellitus(P =0.016),valvular heart diseases(P =0.048), stroke(P =0.001) and atrial fibrillation(P =0.007) were statisticallymore common in AHIE patients than in ARIE patients, while severe carotid artery stenosis/occlusion was statistically more common in ARIE than in AHIE[ARIE versus AHIE:odds ratio(OR),2.3; 95% confidence interval(CI), 1.110 to 4.682, P =0.025].Conclusion History of Hypertension, diabetes mellitus, valvular heart diseases, cerebral strokeand atrial fibrillation were more common in AHIE while carotid artery stenosis/occlusion wasstatistically more common in ARIE.

Key words: Retinal; Brain ischemia; Risk factors; carotid artery diseases