颈部动脉粥样硬化斑块与脑梗死的相关性  

Correlation between carotid atherosclerotic plaque and cerebral infarction

作　　者：曹文慧[1] 王海波[2] 栗昭生 杨红艳[3] 

机构地区：[1]牡丹江医学院附属红旗医院神经内二科,黑龙江牡丹江157011 [2]黑龙江省牡丹江市第一人民医院神经外科,黑龙江牡丹江157011 [3]牡丹江医学院附属红旗医院超声医学科,黑龙江牡丹江157011

出　　处：《中国医药科学》2016年第24期190-192,共3页China Medicine And Pharmacy

摘　　要：目的分析颈部动脉粥样硬化斑块与脑梗死的相关性。方法收取我院50例脑梗死患者作为观察组,再选取50例非脑梗死患者作为对照组,收治时间为2015年12月-2016年8月,对两组患者颈部血管实施彩色多普勒超声检查,并将两组患者检测后的斑块大小、颈部动脉粥样硬化斑块检出率、斑块类型进行对比。结果观察组患者颈部动脉粥样硬化斑块检出率94.00%高于对照组患者,观察组患者斑块大小与对照组相比,具有显著差异（P〈0.05）,观察组脑梗死患者、对照组非脑梗死患者均以混合斑较为常见,两组患者斑块分布类型具有显著差异（P〈0.05）。结论颈部动脉粥样硬化斑块与脑梗死具有密切的相关性,彩色多普勒超声对颈部动脉粥样硬化斑块的诊断和预防具有较高的应用价值,值得大力推广和应用。Objective To explore the correlation between carotid atherosclerotic plaque and cerebral infarction. Methods 50 patients with cerebral infarction in our hospital were selected as observation group, and 50 patients with non cerebral infarction in our hospital were selected as control group. The cure time was from December 2015 to Auguest 2016. Color Doppler ultrasonography was performed on cervical vessels of the two groups of patients. Plaque size, the detection rate of carotid atherosclerotic plaque of the two groups were compared. Results The detection rate of carotid atherosclerotic plaque in the observation group was 94% higher than that in the control group. Compared with the control group, there was significant difference between the observation group and the control group（P 〈 0.05）. Patients with cerebral infarction in the observation group and control group were more common in patients with non cerebral infarction. There was significant difference between the two groups（P 〈 0.05）. Conclusion There is a close correlation between carotid atherosclerotic plaque and cerebral infarction. Color Doppler ultrasound has high value in the diagnosis and prevention of carotid atherosclerotic plaque. It is worthy of promotion and application.

关 键 词：颈部动脉粥样硬化斑块 脑梗死 相关性 非脑梗死 

分 类 号：R743.3[医药卫生—神经病学与精神病学]