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目的 探讨急性脑梗死患者颈动脉粥样硬化斑块与血白细胞计数 (WBC)之间的关系 ,为脑梗死的病因诊断、治疗和预防提供重要依据。方法 84例急性脑梗死患者根据颈动脉超声检查结果 ,分为颈动脉粥样硬化斑块组 (斑块组 )和颈动脉粥样硬化非斑块组(非斑块组 ) ,并根据斑块积分将斑块组颈动脉粥样硬化程度分为 3级 (轻、中、重度颈动脉粥样硬化斑块 ) ,分析颈动脉粥样硬化及程度与血WBC的关系。结果 急性脑梗死颈动脉粥样硬化斑块组患者血WBC明显高于非斑块组 (P <0 .0 1 ) ,且血WBC异常者 ,颈动脉粥样硬化斑块程度重。结论 急性脑梗死颈动脉粥样硬化斑块组患者血WBC明显高于非斑块组 ,且血WBC异常者 ,颈动脉粥样硬化斑块程度重。血WBC水平增高对反映急性脑梗死患者颈动脉粥样硬化病变有临床意义
Objective To explore the relationship between carotid atherosclerosis plaque and blood white cell count (WBC) in patients with acute cerebral infarction, and provide an important basis for the diagnosis, treatment and prevention of cerebral infarction. Methods Eighty-four patients with acute cerebral infarction were divided into carotid atherosclerotic plaque group (plaque group) and carotid atherosclerosis non-plaque group (non-plaque group) according to carotid ultrasonography. According to the plaque The scores of carotid atherosclerotic plaque group were divided into three levels (light, moderate and severe carotid atherosclerotic plaques), analysis of carotid atherosclerosis and the degree of blood WBC. Results The WBC in patients with carotid atherosclerotic plaque in acute cerebral infarction group was significantly higher than that in non-plaque group (P <0.01), and the degree of carotid atherosclerotic plaque was severe in patients with abnormal WBC. Conclusion The blood WBC levels in patients with carotid atherosclerotic plaque in acute cerebral infarction group were significantly higher than those in non-plaque group, and those with abnormal blood WBC and carotid atherosclerotic plaques were heavier. Increased blood WBC levels reflect the clinical significance of carotid atherosclerosis in patients with acute cerebral infarction