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目的探讨急性脑梗死患者颈动脉斑块与血清高敏C反应蛋白(hs-CRP)的关系。方法选择我院2010年10月至2012年3月收治的120例急性脑梗死患者,均进行颈动脉超声检查。结果检测出动脉粥样硬化斑块的患者54例(45%),共71枚。20例31枚为不稳定性斑块,34例40枚为稳定性斑块,基于检查结果分为两组。两组患者在血压、血脂、吸烟史等危险因素之间差异无统计学意义(P>0.05);但在年龄、hs-CRP、糖尿病、高血压等危险因素之间存在着较为明显的差异(P<0.01)。结论颈动脉粥样硬化斑块的重要危险因素有高血压病、糖尿病、年龄等。
Objective To investigate the relationship between carotid plaque and serum high-sensitivity C-reactive protein (hs-CRP) in patients with acute cerebral infarction. Methods A total of 120 patients with acute cerebral infarction who were admitted from October 2010 to March 2012 in our hospital were examined by carotid ultrasonography. RESULTS: A total of 71 patients (54%) had atherosclerotic plaque detected in 45 patients. Twenty-one cases were unstable plaques and thirty-four cases were stable plaques, which were divided into two groups based on the examination results. There was no significant difference between the two groups in the risk factors such as blood pressure, blood lipids and smoking history (P> 0.05). However, there were significant differences in risk factors such as age, hs-CRP, diabetes and hypertension P <0.01). Conclusion The main risk factors of carotid atherosclerotic plaques are hypertension, diabetes, age and so on.