目的探讨影响椎基底动脉供血不足(VBI)患者预后的相关因素,降低不良预后发生。方法选取2010年～2012年于我院治疗的椎基底动脉供血不足患者141例为研究对象,回顾性分析患者的一般资料和治疗过程,对可能影响椎基底动脉供血不足患者预后的因素统计学处理。结果观察年龄、性别、肥胖程度、不良嗜好、病因等因素分组的患者的不良预后情况时发现,年龄偏大、较肥胖、有不良嗜好、因动脉硬化发病的患者,不良预后的发生率较高,而不同性别以及诸种不良嗜好之间比较无太大差异。结论年龄、肥胖程度、不良嗜好、病因等因素均对椎基底动脉供血不足患者的预后有不同程度的影响,其中年龄偏大、较肥胖、有不良嗜好、动脉硬化等多提示预后不良,需要特别注意。 Objective To investigate the related factors that affect the prognosis of patients with vertebrobasilar insufficiency (VBI) and reduce the incidence of adverse outcomes. Methods A total of 141 patients with vertebrobasilar insufficiency who were treated in our hospital from 2010 to 2012 were selected as the research objects. The general data and the course of treatment were retrospectively analyzed. The factors that may affect the prognosis of vertebrobasilar insufficiency patients were statistically analyzed . Results The adverse prognosis of patients who were grouped under the factors of age, sex, obesity, bad habits, etiology and other factors found that patients with older age were more obese and had bad habits. Patients with atherosclerosis had a higher incidence of adverse outcomes , While not much difference between different genders and various bad habits. Conclusions Age, obesity, adverse hobby, etiology and other factors have different effects on the prognosis of patients with vertebrobasilar insufficiency. Among them, older age, obesity, adverse hobby, arteriosclerosis and so on suggest poor prognosis and need special note.