颈动脉粥样硬化相关因素与分析颈动脉粥样硬化相关因素与分析.doc

颈动脉粥样硬化相关因素与分析 [摘要] 目的 探讨颈动脉粥样硬化相关危险因素。 方法 对210 例体检者经超声检查颈动脉，进行常规体检，测量颈动脉内-中膜厚度,分析高血压、血脂异常、糖尿病、长期吸烟等与颈动脉硬化之间的关系。 结果 210 例体检者，共检出颈动脉粥样硬化105例 ，其中血脂异常组24 例，高血压组20例，高血压合并血脂异常组26例，糖尿病组14例，吸烟组16例，对照组 5例。 结论 血脂异常是颈动脉硬化的主要危险因素之一，血脂异常及高血压两者同时存在可加重动脉粥样硬化，需提高对颈动脉硬化的认识，及时干预各种危险因素。 [关键词] 颈动脉硬化；危险因素；超声检查；高血压合并血脂异常 [中图分类号] r543.4[文献标识码] b[文章编号] 2095-0616（2011）22-44-01 carotid atherosclerosis related factors and analysis xiongguili physical examination center, the tiefa coal group general hospital, diaobingshan 112700,china [abstract] objective to syudy the releted factors of atherosclerosis. methods by the physical examination of 210 patients with the ultrasound examination of the carotid artery,did the routine check-up, measured the carotid intima-media thickness, analysised the relationship of the carotid atherosclerosis with hypertension, dyslipidemia, diabetes,long-term smoking and so on. results from 20 cases of physical examination, checked out the total carotid atherosclerosis 105 persons,which included the group of dyslipidemia 24 persons,the group of hypertension 20 persons,the group of dyslipidemia and hypertension both exist 29 persons,the group of diabetes 14 persons,the group of smoking 16 persons and the control group 5 persons. conclusion dyslipidemia was one of the main risk factors for the carotid atherosclerosis, dyslipidemia and hypertension both exist can increase atherosclerosis,so we must improve the understanding of the carotid atherosclerosis and disturb all kinds of risk factors in time. [key words] carotid atherosclerosis;risk factors;ultrasound examination;dyslipidemia and hypertension 1资料与方法 1.1一般资料 2011年3～5月参加健康体检的职工随机抽取210例，均为男性，年龄37～72 岁，平均（59.9±5.2）岁，其中高血压、血脂异常、糖尿病、吸烟、高血压合并血脂异常及对照组各35例。 1.2诊断标准 高血压诊断：标准采用2005年中国高血压病防治指南推荐标准[1]，收缩压≥140 mmhg，或舒张压≥90 mmhg。近2周内未服用降压药物。 高血脂诊断标准：参考≤中国成人血脂异常防治指南≥并结合笔者所在医院检验值如下：tc≥6.22 mmol/l，tg≥ 1.5 mmol/l，ldl-c≥4.14 mmol/l为升高，hdl-c＜0.91 mmol/l为降低。血脂异常：指甘油三脂、低密度脂蛋白升高和高密度脂蛋白降低。 高血糖诊断标准：按照2007年中国2型糖尿病防治指南诊断标准[2]，fdg受损：6.1 m