陈蕴博 马民 陈照帮

    [摘要] 脑梗死一直在我国疾病谱的前3位，是具有高致残率和高致死率的神经系统常见疾病之一。近年来，关于侧支循环的影响因素、评估与治疗手段以及中医药介入的研究，使侧支循环的认识逐渐丰富，从而使脑梗死的治疗增加了重要的手段，明显地降低了患者的病死率和残障程度。

    [关键词] 脑梗死；侧支循环；评估；药物

    [中图分类号] R743 [文献标识码] A [文章编号] 1673-7210(2017)09(c)-0037-04

    [Abstract] Cerebral infarction has become one of the three diseases in China， it is the one of the common diseases of the nervous system with high morbidity and mortality. In recent years， the influencing factors of collateral circulation， evaluation and treatment methods， and interventional research of traditional Chinese medicine， which gradually enrich the understanding of collateral circulation， so that the treatment of cerebral infarction has increased by an important means，the mortality and disability degree of the patients were obviously decreased.

    [Key words] Cerebral arterial thrombosis； Collateral circulation； Assessment； Drugs

    腦卒中，目前已成为我国第一大死因，是具有高致残率和致死率的神经系统常见疾病之一，其中脑梗死约占全部卒中亚型的70%[1]，良好的侧支循环可减少梗死灶最终体积，改善卒中预后，并能降低复发风险[2]和缺血及再灌注损伤，梗死后出血转化发生概率亦降低。因此，应该不断深入地研究侧支循环建立的影响因素、评估及治疗手段，另外应当挖掘中医药临床作用。

    1 侧支循环的代偿途径

    脑侧支循环是指大脑供血发生障碍时 ......