颈动脉粥样硬化斑块及其危险因素与脑梗死的关系

目的探讨颈动脉粥样硬化(CAA)斑块及其危险因素与脑梗死的关系。方法对196例脑梗死患者(脑梗死组)和104例非脑梗死患者(非脑梗死组)行颈动脉彩色多普勒超声仪检查,分析入组者年龄、性别、伴发疾病、吸烟、饮酒与CAA斑块发生率的关系,观察不同等级的CAA斑块在各组中的分布。结果高龄、伴有高血压病、糖尿病、血脂异常及吸烟者CAA斑块的发生率明显增高(P<0.05~0.01);.脑梗死组CAA斑块的发生率较非脑梗死组明显增加(P<0.01);有斑块组脑梗死发生率显著高于无斑块组(P<0.01);随着年龄的增加,≥2级CAA斑块的发生率及脑梗死的发生率明显增加(均P<0.01)。结论CAA斑块的形成与高龄、高血压病、糖尿病、血脂异常、吸烟等因素有关,CAA斑块是脑梗死的危险因素之一。

Relationship between the carotid artery atherosclerotic plaque and its risk factors and cerebral infarction

Objective To explore the relationship between the carotid artery atherosclerotic(CAA) plaque and its risk factors and cerebral infarction(CI).Methods 196 patients with CI(CI group) and 104 patients without CI(non-CI group) were examined by color Doppler ultrasonography on their carotid artery.The relationships were analysed between the CAA plaque with age,sex,accompany disease,smoking and alcohol drinking of all the pataints.Also,the distribution of different grade plaque was observed in each group.Results ...