脑梗死患者颈动脉内-中膜厚度及其预后相关性探究.docVIP

脑梗死患者颈动脉内-中膜厚度及其预后相关性探究摘 要 目的：探讨脑梗死患者颈动脉内-中膜厚度与其预后的影响因素。方法：收治脑梗死患者112例，根据颈动脉内-中膜厚度分成3组，其中正常组50例，增厚组38例，斑块组24例，对所有患者于治疗前后进行评分比较。结果：各组治疗前后评分比较差异有显著性(P＜005)，男女性别之间比较差异有显著性(P＜005)。结论：脑梗死患者颈动脉内-中膜厚度的变化影响着患者的预后，厚度越大，预后越差。 关键词 脑梗死 颈动脉内-中膜厚度 相关因素 预后 doi:10.3969/j.issn.1007-614x.2012.14.015 Abstract Objective:to study the cerebral infarction with abnormal carotid intima-media thickness and its prognostic factors.Methods:the data of our hospital from January 2010 to December 112 cases of treatment in patients with cerebral infarction,according to the abnormal carotid intima-media thickness is divided into three groups,among which the normal group 50 cases,thickening group of 38 cases,plaques group of 24 cases,of all patients before and after treatment compared to rating.Results:the 112 patients,according to the abnormal carotid intima-media thickness is divided into three groups,among which the normal group 50 cases,male 26 cases,female 24 cases,thickening group of 38 cases,male,24 cases were female in 14 cases,plaques group 24 cases,male in 12 cases,female in 12 cases,the score before and after treatment with significant difference(P＜005),between male and female with significant difference(P＜005).Conclusion:cerebral infarction with abnormal carotid intima-media thickness of the change affects the prognosis of patients,the greater the thickness,the more poor prognosis. Key Words Cerebral infarction;Abnormal carotid intima-media thickness;Related factors;Prognosis 脑梗死是中老年人的常见病，近年来，其发病率有上升趋势，而且年龄也越来越低，其主要原因是动脉粥样硬化，严重威胁着人民的健康。2010～2011年收治脑梗死患者112例，进行回顾性分析，现报告如下。 资料与方法 本组患者112例，均符合脑梗死的诊断标准［2］。其中男62例，女50例，年龄43～73岁，平均613岁。根据颈动脉内-中膜厚度分成三组，正常组50例，男26例，女24例；增厚组38例，男24例，女14例；斑块组24例，男12例，女12例。 方法：颈动脉内-中膜厚度应用高分辨率彩色B 超测量颈动脉内-中膜厚度(CIMT)。根据颈动脉内-中膜厚度(CIMT)分3组，正常组：颈动脉内-中膜厚度＜08mm，增厚组：颈动脉内-中膜厚度08～15mm，斑块组：颈动脉内-中膜厚度＞15mm。患者入院24小时内和住院14天均进行神经功能缺损评分(NIHSS)评分。 结 果 各组治疗前后评分比较差异有显著性(P＜005)，男女性别之间比较差异有显著性(P＜005)，见表1。 讨 论 脑梗死好发者为50～60岁以上的人群，常有动脉粥样硬化高血压风心病冠