颈动脉斑块形成和缺血性脑卒中相关性分析.docVIP

颈动脉斑块形成和缺血性脑卒中相关性分析 　　【摘要】 目的：探讨颈动脉斑块形成与缺血性脑卒中的相关性。方法：收集2013年3-6月在本院住院确诊的200例缺血性脑卒中患者的颈动脉超声检测资料（测量颈动脉内-中膜厚度，有斑块形成者观察斑块回声以及发生部位）；另选取150例普通住院患者的颈动脉超声检测结果作为对照。结果：200例脑卒中患者中，颈动脉斑块形成者152例，阳性率76%；150例对照组中，颈动脉斑块形成31例，阳性率21%，两者差异具有统计学意义（P0.05）。在脑卒中患者颈动脉斑块形成病例中，发生于颈动脉分叉处病例132例，占87%，与非颈动脉分叉处斑块形成对比差异具有统计学意义（P0.05）。结论：缺血性脑卒中患者中颈动脉斑块的检出率明显高于非缺血性脑卒中患者，且在有颈动脉斑块形成的病例中，动脉分叉处的斑块检出率也明显增高。 　　【关键词】 颈动脉粥样斑块； 缺血性脑卒中； 相关性 　　中图分类号 R743 文献标识码 A 文章编号 1674-6805（2013）32-0003-03 　　Research on the Correlation Between Carotid Artery Plaques and Ischemic Stroke/WANG Xian-zhi，LUO Xiao-yong，DENG Ping，et al.//Chinese and Foreign Medical Research，2013，11（32）：3-5 　　【Abstract】 Objective：To analyze the correlation between carotid plaques and ischemic stroke.Method：From March 2013 to Jun 2013，the data of 200 carotid plaques ultrasound of the diagnosised ischemic stroke were collected and analyzed，measured the intima-media thickness （IMT），observaed echo and position of the plaques.The other the data of 150 common patients carotid artery ultrasound were compared.Result：Abnormal signs of carotid arteries such as Intima-media thickness and plaques formation were found in 152 cases of 200 patients with ischemic stroke and total lesion detection rate was up to 76%.31 cases with carotid plaques were found in control group and lesion detection rate was 21%.There was significant difference between the two groups（P0.05）.In 152 cases with carotid plaques，132 were found in artery bifurcation.There was significant difference between the artery bifurcation and other positions（P0.05）.Conclusion：Total carotid plaques lesion detection rate of the ischemic stroke is higher than other patients，and then，the carotid plaques lesion detection rate is higher than other positions. 　　【Key words】 Carotid plaques； Ischemic stroke； Correlation 　　First-author’s address：Suining City Central Hospital，Suining 629000，China 　　颈动脉粥样斑块形成是全身动脉粥样硬化的表现之一，是一种在动脉内膜脂质堆集为首要反应所触发的一个慢性、退行性的炎症性疾病过程[1]。它是一全身性疾病，与心肌梗死、脑梗死等血管事件之间存在紧密联系，并可预测其发生因素[