颈动脉粥样硬化与脑梗死关系的探讨  

Study of relationship between carotid atherosclerosis and cerebral infarction

作　　者：曾素琴[1] 熊宁[1] 吕仁发[1] 

机构地区：[1]解放军184医院内二科,江西鹰潭335000

出　　处：《东南国防医药》2011年第6期500-502,共3页Military Medical Journal of Southeast China

摘　　要：目的探讨颈动脉粥样硬化与脑梗死的关系。方法运用彩色多普勒超声(US)对276例急性脑梗死患者(脑梗死组)和150例健康体检者(对照组)颈动脉进行检测,并对两组动脉粥样硬化情况进行对比。结果脑梗死组颈动脉内膜-中层厚度(IMT)及颈动脉粥样硬化斑块发生率明显高于对照组,且软斑的检出率显著高于硬斑。结论颈动脉粥样硬化与脑梗死关系密切,超声检测能早期发现颈动脉粥样硬化,对有效预防脑梗死的发生、发展有重要意义。Objective To explore the relationship between carotid atherosclerosis and cerebral infarction（CI）.Methods 276 patients with acute cerebral infarction and 150 adults for health examination were detected in carotid artery using color Doppler ultrasonography（US）.The incidence of carotid atherosclerosis in the two groups was compared.Results The intima-media thickness（IMT） of carotid artery with CI and the incidence of atherosclerosis plaque in carotid artery with CI were significantly high than that in control group.The rate of atheromatous plaque in bifurcation（BIF） was higher than that in other position of common carotid artery（CCA）.The incidence of soft plaque was significantly higher than that of hard plaque.Conclusion There is a close relationship between carotid atherosclerosis and cerebral infarction.Ultrosonographic detective was useful for the early discovery of carotid atherosclerosis and the prevention of occurrence and development of cerebral infarction effectively.

关 键 词：颈动脉粥样硬化 脑梗死 彩色多普勒超声 

分 类 号：R543.12[医药卫生—心血管疾病]