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目的 探讨眼底动脉硬化及程度与脑梗死牛津郡社区卒中项目(OCSP)分型亚型的关系.方法 选取186例急性脑梗死患者,全部行眼底照相检查,根据眼底照相结果明确有无眼底动脉硬化,并对硬化眼底动脉进行分级.根据临床症状进行OCSP分型,分析眼底动脉硬化及程度与脑梗死牛津郡社区卒中项目(OCSP)分型亚型的关系.结果 ①186例急性脑梗死患者中,完全前循环梗死(TACI)型20例(10.8％),其中眼底动脉硬化者10例(50.0％),无眼底动脉硬化者10例(50.0％);部分前循环梗死(PACI)型78例(41.9％),其中眼底动脉硬化者75例(96.2％),无眼底动脉硬化者3例(3.8％);后循环梗死(POCI)型45例(24.2％),其中眼底动脉硬化者30例(66.7％),无眼底动脉硬化者15例(33.3％);腔隙性梗死(LACI)型43例(23.1％),其中眼底动脉硬化者39例(90.7％),无眼底动脉硬化者4例(9.3％).PACI型及LACI型眼底动脉硬化形成所占比例较大,差异有统计学意义(χ2=25.597、10.833,P＜0.00833).②比较OCSP各亚型眼底动脉硬化程度,PACI型较LACI型眼底动脉硬化程度更严重,差异有统计学意义(Z=-3.203,P=0.001).结论 眼底动脉硬化与PACI型及LACI型有关,PACI型眼底动脉硬化程度更重.“,”Objective To investigate the relationship between fundus arteriosclerosis and its extent with subtypes of Oxfordshire Community Stroke Project (OCSP).Methods Totally 186 cases of acute cerebral infarction were examined by fundus photography.The ocular fundus arteriosclerosis was defined and the arteriosclerosis of the fundus arteriosus was classified according to the results of fundus photography.In Oxford County Community Stroke (OCSP) Project,the relationship between the arteriosclerosis,degree of the fundus artery and the subtype was investigated,which was based on clinical symptoms.Results (1) Of 186 cases of acute cerebral infarction patients,total anterior circulation infarction (TACI) was 20 cases (10.8％),including 10 cases of fundus arteriosclerosis (50％),10 cases without fundus arteriosclerosis (50％);partial anterior circulation infarction (PACI) patients with type was 78 cases (41.9％),including 75 cases of fundus arteriosclerosis (96.2％),3 cases without fundus arteriosclerosis (3.8％);posterior circulation infarction (POCI) was 45 cases (24.2％),including 30 cases of fundus arteriosclerosis (66.7％),15 cases without fundus arteriosclerosis (33.3％);lacunar infarction (LACI) was 43 cases (23.1％),39 the fundus arteriosclerosis (90.7％),4 cases without fundus arteriosclerosis (9.3％).The proportion of PACI and LACI type of fundus arteriosclerosis was significant,and the difference was statistically significant (2=25.597、10.833,P＜0.001). (2) The degree of fundus arteriosclerosis of all subtypes of OCSP was compared,and the degree of PACI type was more severe than that of LACI type fundus arteriosclerosis,and the difference was statistically significant (Z=-3. 203,P=0.001).Conclusion The arteriosclerosis of the fundus artery is associated with type PACI and type LACI,and the PACI type of the fundus arteriosclerosis is more severe.