无症状性颈动脉狭窄的筛查与治疗研究进展  

Research progress in screening and treatment of asymptomatic carotid artery stenosis

作　　者：秦新祚 王子健 郭昫 宋珏娴[1] QIN Xinzuo;WANG Zijian;GUO Xu;SONG Juexian(Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《中国实用神经疾病杂志》2022年第10期1275-1279,共5页Chinese Journal of Practical Nervous Diseases

基　　金：北京中医药科技发展资金项目(编号:JJ-2020-21);国家重点研发计划项目科技部“中医药现代化研究”重点专项(编号:2019YFC1712405)。

摘　　要：脑卒中是神经科学领域的疑难杂症,具有高发病率、高复发率、高致残率和高致死率的特点,中国乃至全球各个国家都需为脑卒中的诊疗承担巨额资金。脑卒中包括缺血性和出血性,缺血性脑卒中占脑卒中发病率的2/3,其中颈动脉狭窄是缺血性脑卒中的重要原因,且近年来随着人民生活水平的提高,无症状性颈动脉狭窄的发病率逐渐增高,患病群体逐渐年轻化,是必须重视且积极应对的疾病。本文主要是对目前无症状性颈动脉狭窄的筛查评估及治疗进行系统梳理,以期对无症状性颈动脉狭窄有全面的认识。Stroke is a difficult disease in the field of neuroscience,which has the characteristics of high incidence,high recurrence rate,high morbidity and high mortality.The global need to pay a huge amount of money for the diagnosis and treatment of stroke,including ischemic stroke and hemorrhagic stroke,the incidence of ischemic brain stroke occupies 2/3 of the total incidence of stroke.Carotid stenosis is an important cause of ischemic stroke.In recent years,along with the people living standard rise,the incidence of asymptomatic carotid artery stenosis increased gradually.Middle-aged and elderly people must pay attention to and actively response to the disease.This article mainly reviews the screening,evaluation and treatment of asymptomatic carotid artery stenosis,in order to develop a comprehensive understanding of asymptomatic carotid artery stenosis for people.

关 键 词：无症状性颈动脉狭窄 缺血性脑卒中 动脉粥样硬化 中西医结合 脑卒中 

分 类 号：R543.3[医药卫生—心血管疾病]