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颈动脉粥样斑块与缺血性脑血管病的关系

Research on Relationship between Carotid Plaque and Ischemic Cerebrovascular Disease
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摘要 目的:探讨缺血性脑血管病患者颈动脉粥样斑块的特点及其与缺血性脑血管病的关系。方法:彩色超声检测100例缺血性脑血管病患者颈动脉、内膜-中膜厚度(IMT)及斑块情况,80例非缺血性脑血管患者作为对照。结果:两组颈动脉粥样硬化斑块检出率、IMT差异均有统计学意义(P<0.05)。粥样硬化斑块位于颈总动脉分叉处最多。各组内软斑和混合斑比硬斑更易引发缺血性脑血管病(P<0.05)。两组高血压、高血脂、糖尿病发生率均有显著性差异(P<0.05)。结论:颈动脉粥样硬化与缺血性脑血管病关系密切,软斑与混合斑为重要危险因素,高血压、高血脂、糖尿病在斑块形成中起重要作用。 Objective To explore the characteristics of carotid plaques and its relationship with ischemic cerebrovascular disease.Methods All carotid arteries of 100 patients with ischemic cerebrovascular disease were examined with color ultrasonic inspection.Intima-media thickness(IMT) and plaques type were measured and compared with 80 cases of control.Results The detective rate of carotid plaques and IMT in patients with ischemic cerebrovascular disease were significantly higher than those of control group(P<0.05).Atherosclerotic plaque was located in carotid arterial bifurcation place mostly.The rates of soft and compound plaques were more inclined to cause ischemic cerebrovascular disease(P<0.05).The rates of high blood pressure,high cholesterol,diabetes were significant difference between two groups(P<0.05).Conclusion The relationship of carotid atherosclerosis and ischemic cerebrovascular disease may be close,soft and compound plaques may be important risk factors.High blood pressure,high cholesterol,diabetes may play important roles in the development of plaques.
出处 《湖北医药学院学报》 CAS 2011年第4期397-399,共3页 Journal of Hubei University of Medicine
关键词 缺血性脑血管病 颈动脉粥样斑块 内膜-中膜厚度 Ischemic cerebrovascular disease Carotid plaques Intima-media thickness
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