摘要
目的 探讨脑梗死患者颈动脉斑块与血脂异常、高血压等危险因素的相互关系。方法 应用彩色多谱勒仪对收住入院的 2 2 6例脑梗死患者进行颈部超声检查。根据颈动脉斑块有无分为 2组 :颈动脉斑块组和正常对照组。颈动脉斑块组根据其超声波回声分为低回声组、中回声组、强回声组 3组。记录每例患者高血压、糖尿病、吸烟史 ,测量血压、血糖、血脂分析、血浆纤维蛋白原浓度。结果 颈动脉斑块组收缩压、舒张压、血胆固醇、甘油三脂水平均高于正常组 ;低回声斑块组血浆高密度脂蛋白 (HDL)下降、而低密度脂蛋白 (LDL)及收缩压增高与中高回声组相比有显著性差异 (P <0 0 5 )。结论 高血压、血脂异常与脑梗死患者颈动脉斑块形成及斑块回声强度相关 。
Objective To investigate the relation between carotid plaques in patients with cerebral infarction and the risk factors eg.hypertension,dyslipidosis.Methods Ultrasonography of the carotid artery was conducted on 226 patients with cerebral infarction.These patients were divided into the group with plaques and the group without plaques.Plaque echogenity,defined as reflectance of the emitted ultrasound signal,was scored as low-echo,media-echo,high-echo.Acordingly the group with plaques were subdivided into three groups.Blood presure,fast blood glucose,lipid,fibrinogen were measured.The history of hypertension,diabetes,stroke and smoking were questioned.Results Carotid plaque are associated with increased blood presure,total cholesterol,triglycerides.low-echo plaques are associated with lower level HDL,higher level LDL and increased systolic blood presure(P<0 05).Conclusions Hypertension,dyslipidosis are associated with carotid plaques and plaque echogenity in patients with cerebral infarction,These risk factors should be controlled effectively.
出处
《河南实用神经疾病杂志》
2003年第1期9-10,共2页
Henan Journal of Practical Nervous Diseases
