颈动脉粥样硬化与短暂性脑缺血发作患者脑梗死关系探究.docVIP

颈动脉粥样硬化与短暂性脑缺血发作患者脑梗死关系探究 　　[摘要] 目的 探究颈动脉粥样硬化与短暂性缺血发作患者脑梗死关系。方法 以DSA（数字减影血管造影）检查结果为判断依据，方便选取2014年1月―2015年1月在该院接受治疗的颈动脉内径狭窄70%短暂性脑缺血发作患者120例作为研究对象，跟CTA检查结果将患者分为溃疡斑块组（40例）、非溃疡斑块组（45例）、无斑块组（35例），针对3组患者脑梗死发生率进行对比分析。结果 120例患者平均随访12个月，发生脑梗死14例，发病率为11.7%，其中溃疡斑块组脑梗死发病率为25.0%（10/40）、非溃疡斑块组脑梗死发病率为6.7%（3/45）、溃疡斑块组脑梗死发病率为2.9%（1/30）。3组患者脑梗死发病率P0.05，差异具有统计学意义，且溃疡斑块组的短暂性脑缺血发作患者脑梗死患者高于非溃疡斑块组和溃疡斑块组，P0.05，差异具有统计学意义。结论 利用CTA检查对颈动脉粥样斑块分型对短暂性脑缺血发作患脑梗死发病风险非常有帮助，值得医学大力推广。 　　[关键词] 颈动脉；粥样硬化；脑血管；脑梗死 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742（2016）06（a）-0078-02 　　[Abstract] Objective To explore the carotid atherosclerosis and the relationship between transient ischemic attack in patients with cerebral infarction. Methods Convenient selection DSA （digital subtraction angiography） test results for judgment basis， in January 2014 to January 2014 in ther hospital for treatment of carotid artery diameter stenosis 70% of 120 patients with transient ischemic attack as the research object， with CTA examination results divided the patients into ulcer plaque group （40 cases） and non ulcer plaque group （45 cases）， no plaque group （35 cases）， for the incidence of three groups of patients with cerebral infarction were analyzed. Results 120 patients were followed up for 12 months on average， and 14 cases cerebral infarction incidence was 11.7%， which the incidence of cerebral infarction ulcer plaque group was 25.0%（10/40）， non ulcer plaque group of cerebral infarction incidence was 6.7% （3/45） and ulcer plaque group of cerebral infarction incidence was 2.9% （1/30）. Three groups of patients with cerebral infarction incidence P 0.05， difference is statistically significant， and ulcer plaque group of patients with transient ischemic attack in patients with cerebral infarction is higher than the ulcer plaque and ulcer plaque group， P 0.05， difference is statistically significant. Conclusion Using CTA examination of carotid artery atheromatous plaque classification of transient ischemic attack of ce