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目的探讨急性脑梗死与颈动脉粥样硬化的关系。方法采用彩色多普勒超声仪对86例急性脑梗死患者和70例健康体检者的颈动脉进行评估,比较两组颈动脉斑块发生率和狭窄程度、斑块分布情况及斑块性质。结果脑梗死组颈动脉粥样硬化斑块发生率(87.2%),颈动脉狭窄率51.2%,均明显高于对照组17.1%和11.4%(P<0.05);脑梗死组以软斑块为主(53.3%),对照组以硬斑块为主(66.7%),两组比较差异有统计学意义(P<0.05)。结论颈动脉粥样硬化与急性脑梗死密切相关,是脑梗死不可忽视的危险因素。
Objective To investigate the relationship between acute cerebral infarction and carotid atherosclerosis. Methods The carotid arteries of 86 patients with acute cerebral infarction and 70 healthy subjects were evaluated by color Doppler ultrasound. The incidence and stenosis of carotid plaques, plaque distribution and plaque characteristics were compared between the two groups. Results The incidence of carotid atherosclerotic plaques in cerebral infarction group (87.2%) and carotid stenosis rate (51.2%) were significantly higher than those in control group (17.1% vs 11.4%, P <0.05) The main group (53.3%), the control group mainly with a hard plaque (66.7%), the difference between the two groups was statistically significant (P <0.05). Conclusion Carotid atherosclerosis is closely related to acute cerebral infarction and is a risk factor that can not be ignored in cerebral infarction.