摘要
目的探讨颈动脉粥样硬化斑块及其危险因素与脑梗死的关系。方法选择我院65例脑梗死患者(脑梗死组)及70例非脑梗死患者和正常体检者(对照组)行颈部血管超声和血液生化检查,比较两组患者颈动脉粥样硬化斑块的部位、数目、性质、颈动脉内径及脑梗死危险因素间的差异。结果两组研究对象颈动脉粥样硬化斑块检出率、左、右颈总动脉内径间差异均有显著性意义(P<0·05)。粥样硬化斑块位于颈总动脉最多(77·5%),其次是颈总动脉分叉处(15·0%),颈内动脉颅外段最少(7·5%)。斑块部位与脑梗死部位有显著同侧相关性(P<0·05)。两组研究对象年龄、合并高血压、糖尿病、代谢综合征间差异间均有非常显著性意义(P<0·01)。结论颈动脉粥样硬化斑块与脑梗死发生有密切关系,年龄、高血压、糖尿病、代谢综合征为脑梗死的危险因素,对颈动脉硬化斑块及其危险因素控制有重要临床意义。
Objective To study the relationship between carotid atherosclerosis plaque, risk factors and cerebral infarction. Methods 65 patients with cerebral infarction, 70 patients or health people without cerebral infarction, all subjects were checked by ultrasonic, simultaneously blood was measured. Compare the difference between position, quantity, quality of carotid atherosclerosis plaque, carotid inside diameter and cerebral infarction risk factors. Results The positive ratio of carotid atherosclerosis plaque, left and right total artery inside diameter in cerebral infarction group was significant difference between that of the control group （ P 〈 0. 05 ）. The quantity of carotid atherosclerosis plaque is the most in common carotid artery （77. 5% ）, the second in common carotid artery shunt （ 15.0% ）, the least in the cranial outside stage of internal carotid artery （7.5 % ）. The speckle position showed significant corrdation with the cerebral infarction position in the same side （ P 〈 0.05 ）. The patient age, the ratio of patient with high blood pressure, diabetes, metabolize syndrome in cerebral infarction group were significant higher than that of the control group （ P 〈0.01）. Conclusion Carotid atherosclerosis plaque is associated with cerebral infarction. Age, high blood pressure, diabetes, metabolize syndrome were associated with the formation of carotid atherosclerosis plaque, there is a very important clinical significance in the control of carotid atherosclerosis plaque and it＇s risk factors.
出处
《实用心脑肺血管病杂志》
2006年第11期861-863,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
动脉硬化
脑梗死
危险因素
Arteriosclerosis
Brain infarction
Risk factors
