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高龄脑梗死合并H型高血压患者颈动脉粥样硬化特征分析 被引量:12

Features of carotid atherosclerosis in advance-aged cerebral infarction patients with H-type hypertension
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摘要 目的探讨高龄脑梗死合并H型高血压患者颈动脉粥样硬化特征。方法选择高龄脑梗死患者112例,分为H型高血压组48例,非H型高血压患者64例作为对照组。2组行双侧颈部血管超声检查进行相关分析。结果H型高血压组颈动脉粥样硬化的发生率为100%,对照组颈动脉粥样硬化发生率为95.3%,差异无统计学意义(P>0.05)。H型高血压组颈动脉粥样硬化斑块C级比例明显低于对照组(14.6% vs 43.8%),E级比例明显高于对照组(37.5% vs 14.1%,P<0.01)。结论高龄脑梗死合并H型高血压患者严重颈动脉粥样硬化发生率高。 Objective To study the features of carotid atherosclerosis in advance-aged cerebral in- farction patients with H-type hypertension. Methods One hundred and twelve advance-aged cerebral infarction patients were divided into H-type hypertension group (n=48) and control group (n=64). Patients in the two groups underwent lateral cervical vascular ultrasonography. Correlation between cerebral infarction and carotid atherosclerosis was analyzed. Results No significant difference was found in the incidence of carotid atherosclerosis between H-type hypertension group and control group (100% vs 95.3% ,P〉0.05). The incidence of grade C carotid atheroscle- rotic plaques was significantly lower whereas that of grade E carotid atherosclerotic plaques was significantly higher in H-type hypertension group than in control group (14. 6% vs 43. 8%, 37.5% vs 14.1%,P〈0.01). Conclusion The incidence of severe carotid atherosclerosis is high in advance-aged cerebral infarction patients with H-type hypertension.
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2013年第8期842-844,共3页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 脑梗死 高血压 颈动脉疾病 动脉粥样硬化 高同种半胱氨酸血症 高半胱氨酸 一级预防 危险因素 brain infarction hypertension carotid artery diseases atherosclerosis hyperhomocys-teinemia homocysteine primary prevention risk factors
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