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目的:探讨脑梗死与颈动脉狭窄的关系及相关危险因素的调查。方法:对634例患者(包括72例脑梗死患者及52例腔隙性脑梗死患者)分别进行彩色多普勒超声检测,并记录2组颈动脉粥样硬化斑块的部位、数目、性质和颈动脉内径。用水银柱式血压计、医用磅称、自动生化分析仪完成血压、身高、体重、血糖、血脂检测,统计吸烟指数。结果:脑梗死组颈动脉粥样硬化斑块检出率、左右颈总动脉内径[81.94%、(7.24±0.07)mm、(7.21±0.60)mm]与腔隙性脑梗死组[28.85%、(7.45±0.10)mm、(7.52±0.75)mm]比较差异均有显著性(均P<0.05)。颈动脉狭窄程度与血脂、血糖、高血压、肥胖、吸烟、脑梗死有明显相关性。结论:颈动脉粥样硬化斑块与脑梗死发生有密切关系,对颈动脉粥样硬化斑块和血脂、血糖、高血压、肥胖、吸烟等指标进行干预有重要临床意义。
Objective: To investigate the relationship between cerebral infarction and carotid artery stenosis and related risk factors. Methods: Color Doppler echocardiography was performed in 634 patients (including 72 patients with cerebral infarction and 52 patients with lacunar infarction), and the location, number and nature of carotid atherosclerotic plaques Carotid artery diameter. With mercury sphygmomanometer, medical pounds, automatic biochemical analyzer to complete blood pressure, height, weight, blood glucose, blood lipids, smoking statistics. Results: The detection rate of carotid atherosclerosis plaque, the diameter of left and right common carotid artery [81.94% (7.24 ± 0.07) mm, (7.21 ± 0.60) mm] in cerebral infarction group were significantly higher than those in lacunar infarction group [28.85% (7.45 ± 0.10) mm, (7.52 ± 0.75) mm], respectively (all P <0.05). The degree of carotid stenosis and blood lipids, blood glucose, hypertension, obesity, smoking, cerebral infarction have a significant correlation. Conclusion: Carotid artery atherosclerosis plaque is closely related to the occurrence of cerebral infarction. It has important clinical significance for the intervention of carotid artery atherosclerosis plaque and blood lipid, blood sugar, hypertension, obesity, smoking and other indicators.