脑梗死患者颈动脉粥样硬化的相关性分析

目的　探讨颈动脉粥样硬化与脑梗死的关系及其危险因素。方法　应用彩色超声诊断仪对16 0例脑梗死患者进行颈动脉超声检查 ,观察动脉粥样硬化程度 ,同时检测血脂、血糖、纤维蛋白原含量。结果　脑梗死患者有颈动脉粥样硬化斑块者 132例 (82 .5 % ) ,颈动脉狭窄 7例 (4 .4 % )。斑块发生部位以颈总动脉分叉处最多 (5 4 .8% )。颈动脉有斑块组其高血压发生率、总胆固醇、低密度脂蛋白、血糖、纤维蛋白原含量较无斑块组显著增高 (P <0 .0 1)。结论　颈动脉粥样硬化斑块是脑梗死的危险因素。年龄、糖尿病、高血压、高脂血症、纤维蛋白原增高与颈动脉粥样硬化斑块形成密切相关。

Correlation of carotid atherosclerosis in cerebral infarction patients

Objective To evaluate the relationship among carotid artherosclcrosis,cerebral infarction and its risk factors.Methods Color uhtasonography was used in 160 cases of cerebral infarction for the observation of atherosclerosis.Blood lipid,blood glucose and fibrinogen were detected.Results 132 cases(82.5%) were found to form carotid plaques and carotid stenosis was found in 7 cases(4.4%).The plague was mostly located at the bifureation of the carotid artery(54.8%).Hypertension,cholesterol,low density lipoprotein,plasma glucose and fibrinogen were significantly increased in patients with plague in carotid artery compared with these of patients without plague(P<0.01).Conclusion Carotid atherosclerotic plaque is a risk factor for cerebral infarction.Age,diabetes,hypertension,hypertipidemia and increased fibrinogen are closely correlated with the formation of carotid atherosclerotic plague.