脑梗死患者颈动脉病变与眼底动脉硬化的相关性研究

目的：探讨脑梗死患者颈动脉病变与眼底动脉硬化的相关性。

方法：选取我院确诊为脑梗死的患者120例，采用超声评价双侧颈动脉、免散瞳眼底照相机观测视网膜血管，并对发生短暂性脑缺血发作(TIA)患者42例行脑动脉造影术，根据记录的数据做相关统计学分析。

结果：脑梗死患者眼底动脉硬化程度与血压呈正相关(r=0.361，P=0.015)； 视网膜动脉硬化分级与颈动脉硬化具有明显相关性(r=0.392，P=0.011)； 眼底动脉硬化程度与脑小动脉病变相关性高于颈动脉病变的相关性(r=0.465、0.392，P=0.037)。

结论：脑梗死患者颈动脉硬化、眼底动脉硬化及脑小动脉病变与高血压有着明显的相关性，眼底动脉检查在判断脑动脉硬化方面有重要的临床价值。

Study on the correlation between carotid artery lesion and fundus arteriosclerosis in patients with cerebral infarction

AIM: To investigate the correlation between carotid artery disease and fundus arteriosclerosis in patients with cerebral infarction.

METHODS: Totally 120 patients with acute cerebral infarction were randomly divided into two groups. The patients were diagnosed with bilateral carotid artery and non-mydriatic fundus camera. Fouty-two patients transient ischaemic attack(TIA)underwent cerebral angiography. The data were recorded for analysis.

RESULTS: The degree of fundus arteriosclerosis in patients with cerebral infarction was positively correlated with blood pressure(r=0.361, P=0.015). There was a significant correlation between retinal arteriosclerosis grade and carotid atherosclerosis(r=0.392, P=0.011). The degree of fundus arteriosclerosis was correlated with cerebral arteriolar lesion, higher than it with carotid artery disease(r=0.465, 0.392, P=0.037).

CONCLUSION: Carotid arteriosclerosis, fundus arteriosclerosis and cerebral arteriolar lesions in patients with cerebral infarction have a significant correlation with hypertension, and fundus arterial examination has important clinical value in judging cerebral arteriosclerosis.