颈动脉狭窄与急性脑卒中并发脑心综合征的相关性研究

目的 探讨颈动脉狭窄与急性脑卒中并发脑心综合征的相关性。方法 选取2015年6月-2018年6月本院收治的急性脑卒中患者100例作为脑卒中组,依据是否并发脑心综合征分为单纯组(n=64例)和脑心组(n=36例),同期体检中心健康人员50例作为健康组,检测所有人员颈动脉狭窄、左心功能左心室内径(LAD)、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)],分析颈动脉狭窄与急性脑卒中并发脑心综合征的相关性。结果 脑卒中组颈动脉狭窄程度、斑块发生率为(28.12±6.54)%、56.00%。脑卒中组LAD、LVEDD明显高于健康组,脑卒中组LVEF明显低于健康组(P<0.05); 脑心组颈动脉狭窄程度、斑块发生率、LAD、LVEDD明显高于单纯组,脑心组LVEF明显低于单纯组(P<0.05); 重度脑卒中患者的LAD、LVEDD明显高于轻度脑卒中患者,重度脑卒中患者的LVEF明显低于轻度脑卒中患者(P<0.05); Pearson相关性分析显示,颈动脉狭窄程度与LAD、LVEDD呈正相关(r=0.615,0.623,P<0.05),但与LVEF呈负相关(r=-0.618,P<0.05)。结论 颈动脉狭窄与急性脑卒中并发脑心综合征有关,检测颈动脉狭窄程度可作为评估急性脑卒中并发脑心综合征的重要参考指标。

The correlation between carotid artery stenosis and cerebral heart syndrome complicated by acute stroke

ObjectiveTo discuss the correlation between carotid artery stenosis and cerebral heart syndrome complicated by acute stroke.Methods 100 patients with acute cerebral stroke were selected from June 2015 to June 2018 in our Hospital as stroke group.According to whether cerebrocardiac syndrome was complicated,they were divided into simple group(n=64)and brain heart group(n=36).In the same period 50 healthy persons in the physical examination center were taken as health group.Carotid stenosis and left ventricular function left ventricular diameter(LAD),left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)] were measured in all people.The correlation between carotid artery stenosis and cerebral heart syndrome complicated by acute stroke was analyzed.Results The degree of carotid artery stenosis and plaque incidence in stroke group were(28.12±6.54)% and 56% respectively.LAD and LVEDD in stroke group were significantly higher than those in healthy group,and LVEF in stroke group was significantly lower than that in healthy group(P<0.05).The degree of carotid artery stenosis,plaque incidence,LAD and LVEDD in brain heart group were significantly higher than those in simple group,and LVEF in brain heart group was significantly lower than that in simple group(P<0.05).LAD and LVEDD in severe stroke patients were significantly higher than those in mild stroke patients,and LVEF in severe stroke patients was significantly lower than that in mild stroke patients(P<0.05).Pearson correlation analysis showed that the degree of carotid artery stenosis was positively correlated with LAD and LVEDD(r=0.615,0.623,P<0.05),but negatively correlated with LVEF(r=-0.618,P<0.05).Conclusion Carotid artery stenosis was related to the occurrence of acute stroke and cerebral cardiac syndrome.Detection of the degree of carotid stenosis could be used as an important reference index for evaluating acute cerebral stroke complicated with cerebral cardiac syndrome.