Analysis Of The Clinical Characteristics In Acute Multiple Infarcts In Multiple Cerebral Circulations

Object:The aim of this study was to explore the clinical characteristics in Acute Multiple Infarcts in Multiple Cerebral Circulations.Methods:The clinical data of patients with acute cerebral infarction were retrospectively analyzed.All of them were hospitalized patients in NO.1Hospital of Jilin University Affiliated Hospital department of neurology and its department II from October 2016 to October 2018.There were 401 enrolled patients,All of whom were seperated into acute single brain infarct(ASBI)group(201)and acute multiple infarcts in multiple cerebral circulations(AMIMCC)group(200).And in patients with AMIMCC,according to the distribution,the AMIMCC group was redistributed into anterior and posterior circulation group(77)and bilateral anterior circulation group(123).We assessed the patient’s clinical data which were age,gender,smoking history,history of drinking,hypertension,diabetes,dyslipidemia,cerebral infarction,coronary heart disease,arrhythmia,NIHSS score on admission and so on.Patients were followed up for 3 months after discharge for recurrence of cerebral infarction.Results :In terms of age(t=-6.575,P=0.000),there was statistical significance in The ASBI and AMIMCC,and the age of the AMIMCC was larger than that of The ASBI.The ASBI and AMIMCC had statistical significance in heart disease(Χ~2=13.402,P=0.000).The proportion of heart disease in the AMIMCC was higher than that in the ASBI,and the proportion of smoking and drinking in the AMIMCC was higher than that in the ASBI.There was potential difference between the two groups in smoking(Χ~2=3.797,P=0.051)and drinking(Χ~2=3.695,P=0.055).The ASBI and AMIMCC presented statistical significance in the composition of TOAST etiological classification(Χ~2=30.449,P=0.000).The proportion of CE and SOE in the AMIMCC was significantly higher than that in the ASBI,and the proportion of SAO in the ASBI was significantly higher than that in the AMIMCC.The NIHSS score of ASBI and AMIMCC on admission(Z=-2.615,P=0.009)was statistically significant,and the NIHSS score of AMIMCC on admission was higher than that of ASBI.In terms of recurrence of cerebral infarction,the AMIMCC was more likely to have recurrent cerebral infarction than the ASBI(c 2=7.531,P=0.006).In AMIMCC,the high blood pressure(Χ~2 = 8.429,P = 0.004)and diabetes(Χ~2 = 7.047,P = 0.008)in the anterior and posterior circulation group and the bilateral anterior circulation group was statistically significant,The proportion of hypertension and diabetes in the anterior and posterior circulation group was higher than the bilateral anterior circulation group,The proportion of previous history of cerebral infarction in the bilateral anterior circulation group was higher than that in the bilateral anterior circulation group,and the previous history of cerebral infarction(c 2=3.816,P=0.051)was potentially different between the two groups.There was statistical significance in the composition of TOAST etiological types in in the anterior and posterior circulation group and the bilateral anterior circulation group.The proportion of CE and SUE was significantly higher in the bilateral anterior circulation group than in the anterior and posterior circulation group.Conclusions:(1)AMIMCC patients were older than ASBI patients,had a close relationship with heart disease,and might have a potential relationship with smoking and drinking.(2)The involvement of the anterior and posterior circulation AMIMCC was more closely related to hypertension and diabetes.Patients with bilateral anterior circulation AMIMCC was more closely related to History of previous cerebral infarction.(3)AMIMCC was more common with CE and SOE.(4)AMIMCC involved in bilateral anterior circulation was mainly occluded with CE and SUE.(5)AMIMCC was seriously ill.(6)AMIMCC was more likely to relapse.