急性脑梗死患者血脂异常类型与颈动脉粥样硬化关系的研究

目的探讨急性脑梗死患者血脂异常类型与颈动脉粥样硬化的关系。方法选择我院215例急性脑梗死患者,根据胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）检测结果分为高胆固醇组（73例）、高三酰甘油组（28例）、低高密度脂蛋白胆固醇组（79例）、混合血脂异常组（35例）。观察颈动脉粥样硬化特征。结果高胆固醇、高三酰甘油、低高密度脂蛋白胆固醇、混合血脂异常例数分别为73（33.95%）、28（13.02%）、79（36.74%）、35（16.28%）;四组颈动脉硬化斑块检出率分别为86.30%（63/73）、89.29%（25/28）、82.28%（65/79）、71.43%（25/53）;颈动脉粥样硬化多发生于双侧颈动脉。结论颈动脉粥样硬化与患者血脂异常类型密切相关,胆固醇增加、低高密度脂蛋白胆固醇是诱发颈动脉粥样硬化的危险因素。

Research on the relationship between dyslipidemia type and carotid atherosclerosis of patients with acute cerebral infarction

Objective To discuss the relationship between dyslipidemia type and carotid atherosclerosis of patients with a cute cerebral infarction.Methods According to TC,TG,LDL-C,HDL-C test results,215 patients with acute cerebral in farction were divided into four groups：high cholesterol group（73 cases）,high triglycerides group（28 cases）,low high-den sity lipoprotein cholesterol group（79 cases） and mixed dyslipidemia group（35 cases）,the characteristics of carotid atherosclerosis were observed.Results The abnormal number of four groups were 73（33.95%）,28（13.02%）,79（36.74%）,35（16.28%）,as well as the detection rates of carotid atherosclerotic plaque were 86.3%（63/73）,89.29%（25/28）,82.28%（65/79）,71.43%（25/53）.The results of the experiments showed carotid atherosclerosis mostly occurred in the bilateral carotid arteries.Conclusion Carotid atherosclerosis is closely related to abnormal blood lipid type.Increased cholesterol and low high-density lipoprotein cholesterol are risk factors inducing carotid atherosclerosis.