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[目的]探讨分析急性脑梗死患者颈动脉斑块与血清C反应蛋白(CRP)、脂蛋白(a)[LP(a)]和血糖(BG)水平的关系。[方法]选择在我科治疗的急性脑梗死患者共102例,根据多普勒彩超有无检出颈动脉斑块分为两组,观察比较两组血清患者血清CRP、LP(a)以及BG水平,并对结果数据进行统计学处理。[结果]102例急性脑梗死患者中有67例合并颈动脉斑块,占65.7%;合并颈动脉斑块组患者血清CRP、LP(a)水平均显著高于无颈动脉斑块组,差异有统计学意义(P﹤0.01);BG水平也比无颈动脉斑块组明显升高(P﹤0.05)。[结论]脑梗死患者颈动脉斑块发生率较高,重视监测血清CRP、LP(a)及BG水平在急性脑梗死的防治上具有重要价值。
[Objective] To investigate the relationship between carotid plaque and serum C-reactive protein (CRP), lipoprotein (a) [LP (a)] and blood glucose (BG) in patients with acute cerebral infarction. [Methods] A total of 102 patients with acute cerebral infarction who were treated in our department were divided into two groups according to the presence or absence of carotid plaques detected by Doppler sonography. Serum levels of CRP, LP (a) and BG Level, and the results of the data for statistical treatment. [Results] 67 of 102 patients with acute cerebral infarction had carotid plaque, accounting for 65.7%. The serum levels of CRP and LP (a) in patients with carotid plaque were significantly higher than those without carotid artery plaque (P <0.01). The BG level was also significantly higher than that in the carotid artery plaque group (P <0.05). [Conclusion] There is a high incidence of carotid plaque in patients with cerebral infarction. It is important to monitor serum levels of CRP, LP (a) and BG in the prevention and treatment of acute cerebral infarction.