| 摘要: |
| ［摘要］ 目的 探讨颈动脉粥样硬化与脑梗死的关系及影响因素。方法 入选脑梗死患者59例及对照组56例，采集相关病史并均进行颈部血管彩超检查，比较两组间颈动脉粥样硬化程度及相关危险因素的差异。结果 两组颈动脉斑块均以颈总动脉分叉处(BIF)最为多见，脑梗死组为71.19%，对照组为51.79%，脑梗死组各部位发现斑块比例均较对照组增高(P<0.05或P<0.01)；两组颈动脉斑块均以混合斑最为多见，脑梗死组为61.02%，对照组为32.14%，两组混合斑块及不稳定斑块（混合斑+软斑）所占比例有显著差异(P<0.05或P<0.01)。结论 颈动脉粥样斑块尤其是不稳定性斑块与脑梗死的发生有密切的联系，可作为预测脑梗死的指标。 |
| 关键词: 颈动脉粥样硬化 脑梗死 |
| DOI： |
| 分类号:R 543.5 |
| 基金项目: |
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| Relationship between ischemic stroke and carotid atherosclerosis |
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ZHOU Te-fei, ZHANG Kui-hua, YING Wei-qun, et al.
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Department of Neurology, Liangang Hospital, Loudi Hunan 417009, China
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| Abstract: |
| ［Abstract］ Objective To observe the relationship between ischemic stroke and carotid atherosclerosis.Methods Fifty-nine hospitalized patients with cerebral infarction (CI group) and 56 hospitalized aged patients (control group) at the same period without cerebral infarction were assessed by color doppler ultrasonography, the characteristics of carotid atherosclerosis between two groups was compared, respectively.Results The incidence of carotid atherosclerosis lesions in CI group was significantly higher than that in control group at all parts. In two groups were highest incidence of carotid atherosclerosis lesions at BIF(71.19% vs 51.79%). The ratio of mixed plaque and unstable plaque were significantly higher in CI group than that in control group.Conclusion Carotid atherosclerosis especially unstable plaque has intensive relationship with ischemic stroke, it can be used as one of the important indexes of predicting stroke. |
| Key words: Carotid atherosclerosis Ischemic stroke |
