缺血性脑卒中患者眼底病变及颈动脉超声颈底大动脉经颅多普力改变研究.docVIP

缺血性脑卒中患者眼底病变及颈动脉超声颈底大动脉经颅多普力改变研究【摘要】目的：分析缺血性脑卒中患者眼底病变与颈动脉超声颈底大动脉经颅多普力的改变。方法：对我院2008年1月至2011年12月收治的70例缺血性脑卒中患者进行眼底检查、颈动脉超声、颅底大动脉经颅多普力检查，分析检查结果。结果：73例缺血性脑卒中患者中，43例(61.43%)患者出现高血压视网膜病变，18例(25.71%)患者出现糖尿病视网膜病变；59例(84.29%)患者出现颈动脉超声异常，其中，58例(82.86%)患者出现颈动脉粥样硬化，44例(62.86%)患者出现斑块，24例(34.29%)患者出现管腔狭窄；颅底大动脉异常47例，异常率为67.14%；38例(54.29%)患者出现血管狭窄。结论：缺血性脑卒中作为一种临床发病率较高的疾病，给予常规眼底检查，颈动脉超声以及颅底大动脉经颅多普力检查，对患者颅内、外血管功能进行全面了解，可显著提高诊断的准确性，对患者进行早预防、早治疗具有重要的临床意义，对患者生活质量的提高具有重要作用。 【关键词】缺血性脑卒中；眼底病变；颈动脉超声；经颅多普力 Ischemic stroke patients with carotid ultrasound eye lesions of the cranial arteries neck more than the PuLi change analysis 【Abstract】 objective: to analyse the ischemic stroke patients with carotid ultrasound eye lesions of the cranial arteries neck PuLi more of the change. Methods: in our hospital from January 2008 to December 70 were cases of ischemic stroke patients with fundus examination, carotid ultrasound, the skull base artery transcranial PuLi more inspection, analysis of the test results. Results: 73 cases of ischemic stroke patients, 43 patients (61.43%) patients experienced high blood pressure retinopathy, 18 cases (25.71%) patients experienced diabetic retinopathy; 59 patients (84.29%) patients experienced carotid ultrasound was unusual, among them, 58 cases (82.86%) patients experienced carotid atherosclerosis, 44 cases (62.86%) patients experienced plaques, 24 cases (34.29%) patients experienced luminal stenosis; The skull base 47 cases were abnormal artery, the abnormal rate is 67.14%; 38 cases (54.29%) patients experienced hemal stricture. Conclusion: ischemic stroke as a clinical higher incidences of disease, give regular fundus examination, and the carotid ultrasound arteries transcranial more PuLi check, the patients intracranial vascular function, and the comprehensive understanding, can significantly improve the accuracy of the diagnosis of patients with early prevention, early treatment has the important clinical significance, to improve the quality of life