代谢综合征与颈动脉粥样硬化斑块形成的相关性分析  

Correlative Analysis of Metabolic Syndrome(MS)and Carotid Artery Arteriosclerosis Clot Forming

作　　者：闫鹤立[1] 史万英[1] 王菁[1] 唐蕊[1] 

机构地区：[1]河北省石家庄市中心医院神经内科,050011

出　　处：《中国微循环》2006年第4期286-288,共3页Journal of Chinese Microcirculation

摘　　要：目的探讨代谢综合征(MS)与颈动脉粥样硬化斑块形成的关系。方法将368例住院病人分为MS组、高危MS组和非MS组,应用血管彩色超声检测颈动脉粥样硬化程度,对各组进行相关性分析。结果MS组、高危MS组和非MS组的颈动脉粥样硬化斑块形成率分别为54.75%、33.21%和12.04%;三组颈动脉中重度狭窄率分别为48.65%、40.54%和10.81%;三组颈动脉闭塞率分别为70.59%、29.41%和0%,MS组和高危MS组较非MS的颈动脉粥样硬化程度呈显著增高(P<0.05)。MS的患病分布即具备诊断条件的个数与颈动脉粥样硬化程度相关。结论代谢综合征及高危代谢综合征人群是颈动脉粥样硬化斑块形成的危险群体,颈动脉超声检测可作为脑血管病一级预防的预测手段。Objective To discuss the correlation of MS and carotid artery arteriosclerosis clot forming. Methods 368 hospitalized patients were divided into three groups, MS-group, high risk MS-group and non MS-group. All patients were examined with color ultrasound to diagnose the degree of carotid artery arteriosclerosis, then to analyze the data. Results The rate of carotid artery arteriosclerosis clot forming in three groups was 54.75%,33.21% and 12.04% respectively. The rate of middle and heavy stenosis of carotid artery in three groups was 48.65% ,40.54% and 10.81% respectively. The rate of carotid artery block in three groups was 70.59%, 29.41% and zero respectively. The degree of carotid artery arteriosclerosis was significantly higher in MS-group and high risk MS-group as compared with those in non MS-group（P 〈0.05）. There was a correlation between the distribution of MS occurrence, the number of qualified diagnostic standards and the degree carotid artery arteriosclerosis. Conclusion MS and high risk MS were subjects of high occurrence of carotid artery arteriosclerosis clot forming. The test of carotid artery ultrasound can be used as a first grade measure to prevent cerebral vascular disease.

关 键 词：代谢综合征 颈动脉粥样硬化 颈动脉超声 

分 类 号：R543.4[医药卫生—心血管疾病] R589[医药卫生—内科学]