缺血性卒中患者踝肱指数与颈动脉粥样硬化性狭窄关系的研究 |
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引用本文: | 周国强,李爱东,谢燕,徐甫. 缺血性卒中患者踝肱指数与颈动脉粥样硬化性狭窄关系的研究[J]. 国外医学:内科学分册, 2009, 36(6) |
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作者姓名: | 周国强 李爱东 谢燕 徐甫 |
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作者单位: | 广东医学院附属深圳市福田人民医院,神经内科,广东,深圳,518033;广东医学院附属深圳市福田人民医院,超声科,广东,深圳,518033 |
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摘 要: | 目的评估缺血性卒中患者踝肱指数(ABI)与动脉粥样硬化性颈动脉狭窄(CAS)的相关性,探讨ABI作为颈动脉狭窄的筛选指标的可行性。方法选取缺血性卒中患者156例,使用血压超声测量仪,测量所有病例的ABI,使用彩色多普勒超声仪检测所有病例的颈总动脉和颈内动脉,研究ABI与颈动脉狭窄的相关性。结果156例缺血性卒中患者中,颈动脉彩色多普勒超声检查(CDFI)显示颈动脉非狭窄组87例,ABI为0.971±0.108;狭窄组69例,ABI为0.828±0.096,两组差异有统计学意义(P〈0.001)。相关分析显示ABI和CAS呈负相关(r=-0.806,P=0.003)。结论ABI与颈动脉粥样硬化狭窄程度呈负相关,可作为颈动脉粥样硬化狭窄的初步筛查手段。
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关 键 词: | 踝肱指数 缺血性卒中 彩色多普勒超声 颈动脉狭窄 |
Research on relationship between ankle-brachial index and carotid artery stenosis in patients with ischemic stroke |
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Abstract: | Objective To investigate the correlation between ankle-brachial index(ABI) and carotid artery stenosis(CAS) in patients with ischemic stroke,and discuss the feasibility of ABI as a screening index evaluating CAS effectively. Methods One hundred and fifty six patients with ischemic stroke were enrolled. ABI was measured with ultrasound,and common and internal carotid artery were measured with color doppler flow image(CDFI). The correlation of ABI and CAS was estimated. Results A total of 156 patients with is... |
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Keywords: | Ankle-brachial index Ischemic stroke Color doppler flow image Carotid artery stenosis |
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