急性脑梗死与颈动脉及其下肢动脉粥样硬化斑块的关系

目的 探讨急性脑梗死患者颈动脉和下肢动脉粥样硬化斑块的发病情况及其相关性.方法 186例急性脑梗死患者均做颈部和下肢彩色多普勒超声及其相关检查,另设70名门诊健康体检者为对照组.结果 186例患者中总共有161例检出斑块(占86.55%),对照组70名检出斑块12名(占17.14%).急性脑梗死患者动脉粥样硬化斑块颈动脉和(或)下肢动脉]检出率明显高于对照组(P《0.01).高龄、糖尿病史、高血脂史和吸烟史患者的斑块检出率明显增高(P《0.01).结论 不论是颈动脉还是下肢动脉,其粥样硬化斑块在急性脑梗死发病中占有重要地位,具有高度危险性,应高度重视.高龄、糖尿病、高血脂及吸烟是形成动脉粥样硬化斑块的重要危险因素.

The relation between acute cerebral infarctions and carotid,lower limb arteriosclerosis plaques

Objective To explore the prevalence of carotid and lower limb arteriosclerosis plaques in acute cerebral infarction patients and their relation.Methods The color Doppler ultrasound of the neck and lower limb in 186 patients with acute cerebral infarctions were examined.70 cases of control group are outpatients.Results Of 186 patients,161(86.55%) patients showed presence of arteriosclerosis plaques.Of 70 cases in control group,12(17.14%) cases showed presence of arteriosclerosis plaques.The incidence of acute cerebral infarctions patients were higher than control group,P<0.01.Old age,diabetes,high serum cholesterol and smoked men were obvious higher,P<0.01.Conclusion Arteriosclerosis plaques is significance,high dangerous in acute cerebral infarction patients.Old age,diabetes,high serum cholesterol and smoked are dangerous cause for it.