脑梗死患者颈动脉颅外段狭窄危险因素分析

目的:探讨脑梗死患者颈动脉颅外段狭窄的相关危险因素,为脑梗死发病机制、临床诊断、治疗和预防提供重要依据。方法:应用HDI-5000彩色多普勒超声仪对脑梗死患者的颈动脉颅外段进行检测,观察血管解剖形态,内膜情况,有无斑块形成及斑块大小,管腔是否狭窄和狭窄程度。按颈动脉超声检测结果将脑梗死患者分为狭窄组和非狭窄组,进行相关危险因素分析。结果:年龄、男性、糖尿病、高血压、高TG、高apoB和高Fib与脑梗死患者颈动脉颅外段狭窄呈正相关,高HDL-C与脑梗死患者颈动脉颅外段狭窄呈负相关。结论:脑梗死患者颈动脉颅外段狭窄的危险因素有年龄、性别、糖尿病、高血压病、高TG、高APOB和高Fib,保护因素有高HDL-C。

The study of risk factors of extracranial carotid arterial stenosis in patients with cerebral infarction

Objective: To study the risk factors of extracranial carotid arterial stenosis in patients with cerebral infarction. Methods: The lumen diameter, intima-media thickness, plaque, severity of artery stenosis of extracranial carotid arteries in cerebral infarction were studied by using HDI-5000 color Doppler ultrasound. The patients were separated into stenosis group and non-stenosis group by the result of ultrasound. Results: There was positive correlation between Age, male sex, diabetes, hypertension, high TG, high apoB, high Fib and extracranial carotid artery stenosis, and the negative correlation between high HDL-C extracranial carotid artery stenosis. Conclusions: Age, male sex, diabetes, hypertension, high TG, high apoB, high Fib as independent risk factors of extracranial carotid artery stenosis, highHDL-Casapro tective factor.