摘要
目的探讨颈动脉粥样硬化斑块(ASP)与急性脑梗死的关系。方法用彩色多普勒超声检查120例急性脑梗死患者(脑梗死组)和44例同期体检者(对照组)颈动脉,测量颈动脉内中膜厚度(IMT),评估ASP性质。比较两组颈动脉ASP检出率及斑块的类型,分析颈动脉ASP稳定性与脑梗死的关系。结果脑梗死组IMT增厚检出率73.3%(88/120),高于对照组的15.9%(7/44)(P<0.05)。脑梗死组颈动脉ASP检出率为89.2%,高于对照组的34.1%(P<0.05)。脑梗死组颈动脉ASP主要为不稳定型。结论颈动脉ASP是脑梗死的主要危险因素,不稳定斑块会增加脑梗死发生率。
Objective To explore the relationship between carotid atherosclerotic plaque（ASP） and acute cerebral infarction （ACI）. Methods The carotid intimal medial thickness （IMT） and the nature of ASP were examined by color Doppler ultrasound in 120 patients with ACI（group A） and 44 healthy persons （group B）. The detection rates of carotid ASP and type of plaques were compared between two groups. The relationship between ASP stability and cerebral infarction was analyzed. Results The percentage of IMT thickening in group A was higher than that in group B（73.3% vs. 15.9%）（P^0. 05）. The detection rate of carotid ASP was higher in group A than that in group B （89.2o/00 vs. 34. 1%）（P^0.05）. The majority of ASPs in group A were unstable. Conclusion Carotid ASP is a major risk factor for cerebral infarction. Unstable ASP is with increased incidence of cerebral infarction.
出处
《江苏医药》
CAS
北大核心
2013年第23期2856-2858,共3页
Jiangsu Medical Journal
