高血压对TIA颈动脉粥样硬化和ABCD评分的影响  

The Effect of Hypertension on Carotid Atherosclerosis and ABCD Scoring System of TIA

作　　者：杜晓光[1] 刘美萍[1] 马桂凤[1] 刘志辉[1] 王春梅[1] 

机构地区：[1]潍坊医学院神经病学教研室 潍坊医学院附属医院超声科

出　　处：《潍坊医学院学报》2008年第6期-,共3页Acta Academiae Medicinae Weifang

摘　　要：目的观察高血压对短暂性脑缺血发作(TIA)患者颈动脉粥样硬化和ABCD评分的影响。方法选择35例TIA合并高血压患者、33例TIA不合并高血压患者和32例非脑血管病非高血压患者进行对照分析,均测量血压、行颈动脉彩色多普勒超声检查,对TIA组患者均行ABCD评分。结果TIA组颈动脉内中膜厚度(intima-media thickness,IMT)和不稳定斑块发生率明显高于对照组,以合并高血压组增加最为明显,TIA合并高血压组ABCD评分明显高于非高血压组。结论高血压是动脉粥样硬化的重要危险因素,高血压加速TIA颈动脉粥样硬化进程,并进一步增加卒中的风险。Objective To analyze the effect of hypertension on carotid atherosclerosis and ABCD scoring system of TIA,and discuss the significance of hypertension in the pathogenesis of TIA.Methods Using high resolution ultrasonic instrument,IMT in the carotid artery was detected in 35 TIA patients with hypertension,33 TIA without hypertension and 32 subjects without TIA and hypertension.Each subject s blood pressure was measured.The ABCD scoring was applied to all patients of TIA.Results Compared with the control grou...

关 键 词：短暂性脑缺血发作 高血压 颈动脉粥样硬化 

分 类 号：R743.3[医药卫生—神经病学与精神病学]