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目的探讨脑梗死患者颈动脉粥样硬化的超声及临床意义。方法对46例脑梗死患者行颈动脉超声检查,并与46例中老年非脑梗死组作对照。结果脑梗死组颈动脉内中膜厚度和斑块数高于对照组(P<0.01),狭窄程度两组差异无统计学意义(P>0.05);脑梗死组颈动脉超声阳性率明显高于对照组(P<0.01)。结论脑梗死患者均有不同程度颈动脉粥样硬化,对高危人群行颈动脉超声检查,有助于脑梗死的早期防治。
Objective To investigate the echocardiographic and clinical significance of carotid atherosclerosis in patients with cerebral infarction. Methods 46 cases of cerebral infarction patients underwent carotid ultrasonography and 46 cases of non-cerebral infarction control group. Results The carotid artery intima-media thickness and plaque number in cerebral infarction group were higher than those in control group (P <0.01), and there was no significant difference between two groups (P> 0.05). The positive rate of carotid artery in cerebral infarction group was significantly higher than that in control group Control group (P <0.01). Conclusions All patients with cerebral infarction have different degrees of carotid atherosclerosis. Carotid ultrasonography can be performed in high-risk groups, which is helpful for the early prevention and treatment of cerebral infarction.