摘要
目的探讨缺血性脑血管病及其危险因素与颈动脉硬化病灶的关系。方法对138例缺血性脑血管病患者(A组,年龄60-93岁)和251例同期非脑血管病住院患者(B组,年龄60-91岁)进行颈动脉超声检查,测量颈动脉和颈动脉斑块相关指标。结果 A组单纯颈动脉内-中膜厚度增厚发生率为31.16%,稍高于B组的25.10%(P>0.05);A组Ⅰ类和Ⅱ类斑块的发生率为71.74%和58.70%,高于B组的30.68和38.65%(P<0.01)。在缺血性脑血管病危险因素中,A组高血压病发生率高于B组(78.99%vs.47.81%)(P<0.01)。结论颈动脉斑块形成与缺血性脑血管病密切相关。缺血性脑血管病患者应当进行颈动脉超声检查,及早采取相应治疗,改善预后。
Objective To study the relationship between the ischemic cerebrovascular disease and its risk factors and carotid atherosclerosis. Methods Ultrasonography of carotid artery was performed in 138 patients with ischemic cerebrovascular disease（group A, aged 60-93 years old） and those without ischemic cerebrovascular disease（group B, aged 60-91 years old）. The intima-media thickness（IMT） and carotid artery plaque were measured. Results The incidence rate of pure carotid artery IMT was slightly higher in group A than that in group B（31.16% vs. 25.10%） （P〉0. 05）. The incidence rates of class I and II plaque in group A were 71. 74% and 58. 70%, whieh were significantly higher than 30.68% and 38.65% in group B（P〈0. 01）. Among the risk factors for kschemic cerebrovascular disease, the incidence rate of hypertension was higher in group A than that in group B（78. 99% vs. 47. 81%）（P〈O. 01）. Conclusion The carotid artery plaque is closely associated with ischemie cerebrovascular disease. Ultrasonography of carotid artery is necessary in the patients with ischemic eerebrovascular disease in order to take early treatment and improve the prognosis.
出处
《江苏医药》
CAS
北大核心
2014年第19期2312-2313,共2页
Jiangsu Medical Journal
关键词
缺血性脑血管病
动脉粥样硬化
颈动脉斑块
超声检查
Isclaemic cerebrovascular disease
Atherosclerosis
Carotid artery plaque
Ultrasonography
