老年高血压患者颈动脉病变特点及颈动脉硬化与缺血性脑血管病发生的关系

目的:探讨老年高血压患者颈动脉病变特点及颈动脉硬化与缺血性脑血管病发生的关系.方法:选择68例老年高血压患者及同龄正常人30例,其中有32例高血压患者合并缺血性脑血管病,应用彩色多普勒检测,观察颈动脉内中膜厚度(IMT及斑块情况.结果:高血压患者颈动脉内中膜增厚、动脉硬化斑块发生率明显增高,差异具有显著性意义.合并缺血性脑血管病者颈动脉硬化程度严重,软斑较硬斑多见.结论:颈动脉粥样硬化严重程度与原发性高血压发生率呈正相关,颈动脉硬化程度与缺血性脑血管病有密切关系.

Features of carotid artery disease in elderly hypertension and relatiouship between carotid atherosclerosis and ischemic cerebrovascular disease occurrence

Objective：To investigate the pathological changes in elderly hypertensive patients with carotid artery disease and rela-tionship between carotid atherosclerosis and ischemic cerebrovascular disease occurrence.Methods：To select 68 cases of elderly hyper-tension and 30 normal people wich the same age.Among them 32 patients with hypertension were complicated with ischemic cerebrovas-cular disease.Color Doppler was used to observe the carotid artery intima-media thickness（IMT）and plaque situation.Results：In the hy-pertensive patients,the incidence rate of carotid artery intima-media thickening and atherosclerotic plaque was significantly higher,with statistically significant difference compared with the controls.The degree of carotid atherosclerosis in the patients complicated with is-chemic cerebrovascular disease was severe and the hard spats were more common than the soft spots.Conclusion：The carotid artery atherosclerosis severity and incidence of primary hypertension has positive relationship.Carotid atherosclerosis is closely related to is-chemic cerebrovascular disease.