颈内外血管病变与脑梗死相关性临床分析

田银珍

（陕西省渭南市蒲城县医院神经内科，陕西渭南，715500）

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摘要：

目的 探讨脑梗死患者中颈动脉粥样硬化斑块形成的状况。方法 选择我院神经内科住院的缺血性脑血管病患者206例，分为脑梗死组148例和短暂性脑缺血组（TIA组）58例，应用颈部血管彩色多普勒超声进行检查，比较两组患者颈动脉粥样硬化斑块检出率。结果 脑梗死组的动脉粥样硬化斑块检出率为71.62%（106/148），稍高于TIA组的68.97%（40/58）（P>0.05）。脑梗死组患者无症状侧颈动脉斑块检出率高于症状侧斑块检出率（P<0.05）。两组患者无症状侧斑块检出率与症状侧斑块检出率比较，差异有统计学意义（P<0.05）。结论 颈动脉粥样硬化斑块是脑梗死患者发病的一个重要危险因素，颈动脉超声检查可用于早期无症状期动脉粥样硬化的检查。

关键词：脑梗死；颈动脉粥样硬化斑块；颈部血管超声

中图分类号：R743.3文献标志码：A文章编号：2096-1413(2017)06-0042-02

Correlation study of internal and external vascular disease and cerebral infarction

TIAN YIN-zhen

(Department of Internal Medicine-Neurology, TPIuAcNhenYginC-ozuhnetny Hospital of Weinan, Weinan 715500, China)

ABSTRACT: Objective To investigate the status of carotid atherosclerosis plaque in patients with cerebral infarction. Methods Two hundred and six cases of patients with ischemic cerebral vascular disease in our hospital were selected and divided into cerebral infarction group (148 cases) and transient ischemic attack group (TIA group) (58 cases). All the patients were examined by color doppler ultrasonography, then the detection rates of carotid atherosclerotic plaque in the two groups were compared. Results The atherosclerotic plaque detection rate of the cerebral infarction group was 71.62% (106/148),which was slighty higher than 68.97% (40/58) of the TIA group, and the differenc was not statistically significant (P>0.05). In the cerebral infarction group and TIA group, the detection rates of asymptomatic side carotid artery plaque was obviously higher than those of the symptomatic side (P<0.05). There has significant difference between the two groups in the detection rate of asymptomatic side plaque and symptomatic side plaque (P<0.05). Conclusion Carotid atherosclerotic plaque is an important risk factor for cerebral infarction and carotid ultrasonography can be used for early detection of asymptomatic atherosclerosis.

KEYWORDS: cerebral infarction; carotid atherosclerotic plaque; cervical vascular ultrasound

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