摘要
目的：探究脑梗死与颈动脉粥样硬化及血脂水平的关系,为临床脑梗死的防治提供理论性指导。方法：选取我院神经内科于2010年3月-2013年3月收治的206例患者,其中脑梗死患者为116例,设为研究组；非脑梗死患者90例,设为对照组。两组患者均接受颈动脉超声检查了解斑块性质、部位及个数及血管内径,另外再行血脂检查,记录数据并进行比较。结果：（1）研究组在CCA、BIF、ICA的斑块均多于对照组,且差异均存在统计学意义（P〈0.05）。其中研究组患者斑块发生率为88.8%（103/116）,以软斑和溃疡斑为主；对照组斑块发生率为15.6%（14/90）,以硬斑为主,且差异具有统计学意义（P〈0.05）。（2）研究组左、右颈总动脉内径分别（5.19±0.14）、（5.14±0.11）mm,对照组分别为（7.38±0.07）、（7.45±0.57）mm,两组之间差异均具有统计学意义（P〈0.05）。（3）研究组TG、HDL-C、LDL-C分别为（2.03±0.18）、（1.11±0.21）、（4.08±0.85）mmol/L,对照组分别为（1.36±0.16）、（1.33±0.32）、（2.87±0.95）mmol/L,两组之间差异具有统计学意义（P〈0.05）。结论：在临床中进行颈动脉超声检查和血脂水平测定,可作为脑梗塞的临床预测项目,且具有重要的临床指导意义。
Objective：To explore the relationship of cerebral infarction with carotid atherosclerosis and lipid levels, and provide theoretical guidance for the prevention and cure of clinical cerebral infarction.Methods：To select admitted 206 patients in our hospital neurology department in March 2010-March 2013, among them, 116 patients with cerebral infarction and was set to the research group, 90 cases normal patients were control group. Two groups of patients were examined by carotid ultrasound understand plaque nature, location and number and vessel diameter, blood fat checked again additionally, and recorded data and to be compared.Results：（1） research group in CCA, BIF, ICA plaques were more than the control group, and the differences were statistically significant （P〈0.05）. Plaque incidence rate of research group was 88.8%（103/116）, mainly was soft plaque and ulcer plaque;Control plaque incidence rate was 15.6%（14/90）, mainly was hard spots, and the difference has statistical significance （P〈0.05）. （2） the left and right carotid artery diameter of research group was （5.19 ±0.14）, （5.14±0.11）mm, the control group was respectively （7.38 ±0.07）, （7.45 ±0.57）mm, the differences were statistically significant between two groups （P〈0.05）. （3） TG, HDL-C, LDL-C of research group was respectively （2.03±0.18）, （1.11±0.21）, （4.08±0.85）mmol/L, the control group was respectively （1.36 ±0.16）, （1.33±0.32）, （2.87±0.95）mmol/L,the difference between the two groups were statistically significant （P〈0.05）.Conclusion：To examine carotid ultrasound and blood lipid level can be used as a cerebral infarction clinical prediction programs in clinical, and has important clinical significance.
出处
《中国医药导刊》
2014年第1期154-155,共2页
Chinese Journal of Medicinal Guide
关键词
颈动脉粥样硬化
血脂
脑梗死
相关性
Carotid atherosclerosis
Blood lipid
Cerebral infarction
The correlation
