超声检查颈动脉粥样硬化斑块与缺血性脑卒中的相关性研究

目的：分析缺血性脑卒中与颈动脉粥样硬化的相关性。方法：采集500例缺血性脑卒中患者的临床资料,作为观察组,另外选取500例正常人作为对照组,对所有1 000例患者进行颈动脉超声检测,观察有无斑块形成,并探讨其与脑卒中的相关性。结果：观察组有380例（76.0%）患者检出颈总动脉内中膜（IMT）增厚伴斑块形成,斑块好发于颈总动脉分叉处,斑块与卒中部位存在同侧相关性,患者中斑块好发于颈总动脉分叉处,斑块与卒中部位存在同侧相关性;对照组中有55例（11.0%）发现颈总动脉内中膜（IMT）增厚伴斑块形成;两组比较差异有统计学意义（P〈0.05）。结论：根据颈动脉粥样硬化斑块的性质可评估缺血性脑卒中患者的预后情况。

Ultrasound Carotid Atherosclerosis and Ischemic Stroke in Research

Objective：To analyze ischemic stroke and carotid atherosclerosis correlation.Methods：500 cases of ischemic stroke collected clinical data,as the observation group,in addition to the normal 500 cases selected as a control group of 1,000 patients conducted all carotid ultrasound to observe whether plaque formation,and to investigate the associated with stroke.Results：The 380 patients（76.0%） patients with detectable carotid artery intima（IMT） thickening with plaque formation,plaques occur in the carotid artery bifurcation,plaque and presence of ipsilateral stroke position correlations occur in patients with plaque carotid artery bifurcation plaque and ipsilateral stroke position exists correlation;control group,55 cases（11.0%） found that carotid artery intima（IMT） thickening associated with plaque formation;significant difference between the two groups（P〈0.01）.Conclusion：According to the carotid atherosclerotic plaques to assess the nature of the prognosis of patients with ischemic stroke cases.