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目的观察脑梗死与颈动脉粥样硬化的因果关系。方法选择我院2010—2011年在神经内科明确诊断为脑梗死的120例患者作为观察组,选取同期住院的非脑血管疾病患者120例作为对照组,对两组患者进行超声检查。结果观察组中颈动脉粥样硬化斑块的检出率为70.0%(84/120),高于对照组的18.3%(22/120),差异有统计学意义(P<0.05);观察组中不稳定斑块发生率为66.7%(56/84),高于对照组的18.2%(4/22),差异有统计学意义(P<0.05)。结论颈动脉粥样硬化与脑梗死的发生有密切关系,颈动脉粥样硬化是导致脑血管病最重要的因素,必须做到早期发现、早期治疗、早期防治。
Objective To observe the causal relationship between cerebral infarction and carotid atherosclerosis. Methods A total of 120 patients with cerebral infarction diagnosed in Department of Neurology from 2010 to 2011 in our hospital were selected as the observation group and 120 patients with non-cerebrovascular disease in the same period were selected as the control group. Ultrasonography was performed on the two groups of patients. Results The detection rate of carotid atherosclerotic plaques in the observation group was 70.0% (84/120), which was higher than that in the control group (18.3%, 22/120), the difference was statistically significant (P <0.05) The incidence of unstable plaque was 66.7% (56/84), which was higher than that of the control group (18.2%, 4/22). The difference was statistically significant (P <0.05). Conclusion Carotid atherosclerosis is closely related to the occurrence of cerebral infarction. Carotid atherosclerosis is the most important factor leading to cerebrovascular disease. Early detection, early treatment and early prevention and treatment must be done.