颈动脉粥样硬化与复发脑梗死关系的临床研究  

The Clinical Research on the Association between Carotid Atherosclerosis and Recurrent Cerebral Infarction

作　　者：范蓉[1] 辛世萌[1] 李梦凡[1] 范鸿博[1] 

机构地区：[1]大连医科大学附属第二医院神经内科,辽宁大连116027

出　　处：《医学与哲学（B）》2012年第6期27-29,共3页Medicine & Philosophy(B)

摘　　要：为探讨颈动脉粥样硬化与复发脑梗死间的关系,对复发及无复发脑梗死患者的颈总动脉内膜-中膜厚度(CCA-IMT)及粥样斑块的性质和部位进行比较。结果显示复发组CCA-IMT值增厚、动脉粥样硬化斑块、软斑、混合斑检出率及高龄、男性、高血压、糖尿病、高血脂的比率较无复发组有显著差异;斑块的好发部位以颈总动脉分叉处多见,左侧多于右侧。提示颈动脉粥样硬化斑块及高龄、男性、高血压、高血糖、高血脂为复发脑梗死的危险因素。To investigate the relationship between carotid atherosclerosis and recurrence of cerebral infarction, we compared to the carotid artery intima -- media thickness （CCA--IMT）, atherosclerotic plaque, the nature and location of plaque between the recurrent and non--recurrent patients. The results showed the CCA--IMT, detection rate of atherosclerotic plaques and soft and mixture plaque were significantly different between two groups. The rate of older, male, hypertension, diabetes, high blood pres- sure in recurrent group was higher than that of non--recurrent group. So carotid atherosclerotic plaque and older, male, hypertension, diabetes, high blood pressure are risk factors of recurrent cerebral infarction.

关 键 词：脑梗死 复发 颈动脉粥样硬化斑块 彩色多普勒超声 

分 类 号：R743.33[医药卫生—神经病学与精神病学]