急性脑梗死风痰阻络证患者血脂及颈动脉彩色多普勒超声检查的临床研究  

Clinical research in the blood lipid and the color Doppler ultrasound of carotid of the acute cerebral infarction patient of phlegm-wind blocking channels

作　　者：张永全[1] 唐芳芳 唐昂[3] 

机构地区：[1]广西中医学院附属瑞康医院神经内科,广西南宁530011 [2]南宁残疾儿童康复中心脑瘫科,广西南宁530003 [3]广西中医学院附属瑞康医院超声科,广西南宁530011

出　　处：《河北中医》2010年第5期662-663,756,共3页Hebei Journal of Traditional Chinese Medicine

基　　金：2007年度广西教育厅科研项目(编号:200710LX008)

摘　　要：目的研究血脂水平及颈动脉粥样硬化与急性脑梗死风痰阻络证的关系。方法对88例急性脑梗死风痰阻络证患者(观察组)及68例健康体检者(健康组)分别进行血脂水平测定及颈动脉彩色多普勒超声检查。结果观察组血清总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(LDL-C)较健康组增高(P<0.01)。观察组不同部位颈动脉内膜中层厚度(IMT)较健康组增厚(P<0.01)。健康组平均颈动脉斑块数目较观察组少(P<0.01)。观察组颈总动脉收缩期峰值流速(Vmax)、舒张末期流速(Vmin)低于健康组(P<0.05,P<0.01),阻力指数(RI)高于健康组(P<0.01);观察组颈内动脉Vmin低于健康组(P<0.01),RI高于健康组(P<0.01)。结论急性脑梗死风痰阻络证的发生与血脂、颈动脉粥样硬化密切相关。Objectives To study the relation between blood lipid and color Doppler ultrasound of carotid in acute cerebral infarction patients of phlegm-wind blocking channels. Methods Blood lipid was examined and the carotid was examined with color Doppler ultrasound in 88 patients with acute cerebral infarction of phlegm-wind blocking channels （obversed group） and 68 subjects as control group. Results The TC, TG and LDL-C of patients with acute cerebral infarction of phlegm-wind blocking channels were higher than those in control group（P〈0.01）.There was significant difference between the two groups （P〈0.05）. Carotid IMT in obversed group was more seriously than control group （P〈0.01）. PS, ED was obviously lower than control group, RI higher than control group（P〈0.01）. Conclusion Blood lipid disorder and carotid atherosclerosis are correlated to acute cerebral infarction of phlegm-wind blocking channels.

关 键 词：脑梗死 脑缺血 动脉硬化 辨证 血脂 超声检查 多普勒 彩色 

分 类 号：R743.330.451[医药卫生—神经病学与精神病学] R543.504.51[医药卫生—临床医学]