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目的:探讨脑梗死与颈动脉粥样硬化斑块的关系及高血压,高血脂,糖尿病,吸烟及酗酒等易患因素与脑梗死,颈动脉粥样硬化的关系。方法:对160例脑梗死患者和123例非脑梗死患者进行颈动脉彩色超声检查,并结合血压,血脂,血糖以及其吸烟,酗酒等因素进行分析。结果:脑梗死组中易损斑块检出率明显高于非梗死组,患有高血压,高血脂,糖尿病,吸烟,酗酒的患者易损斑块发生率较高。结论:颈动脉粥样硬化斑块的形成与高血压,高血脂,糖尿病,吸烟,酗酒显著相关,特别是易损斑块的形成和存在,在很大程度上影响着脑梗死的发生。
Objective: To investigate the relationship between cerebral infarction and carotid atherosclerotic plaque and the relationship between predisposition factors such as hypertension, hyperlipidemia, diabetes, smoking and alcoholism and cerebral infarction and carotid atherosclerosis. Methods: Carotid color ultrasound was performed in 160 patients with cerebral infarction and 123 patients with non-cerebral infarction. Blood pressure, blood lipids, blood glucose and smoking, alcoholism and other factors were analyzed. Results: The detection rate of vulnerable plaque in cerebral infarction group was significantly higher than that in non-infarcted group. Patients with hypertension, hyperlipidemia, diabetes mellitus, smoking and alcohol abuse had a higher incidence of vulnerable plaques. Conclusion: The formation of carotid atherosclerotic plaque was significantly associated with hypertension, hyperlipidemia, diabetes, smoking and alcoholism. The formation and existence of vulnerable plaque in particular affected the occurrence of cerebral infarction.