稳定性和非稳定性颈动脉斑块及相关因素与脑梗死关系的分析

Analysis on the relationship between the stable,unstable carotid artery plaque,its relevant elements and the cerebral infarction

目的探讨颈动脉粥样硬化稳定性和非稳定性斑块及相关因素与脑梗死发病率的关系。方法将268例经高频超声检查有颈动脉粥样硬化斑块,又做了脑CT检查的住院患者,分成稳定性斑块组和非稳定性斑块组,同时收集了患者有无高血压病、糖尿病及高血脂症等临床资料进行分析。结果发生脑梗死者,稳定性斑块共103例(70.1%),非稳定性斑块共93例(76.9%),二者脑梗死的发病率及稳定性斑块和非稳定性斑块分别伴随的高血压病、糖尿病和(或)高脂血症均无显著差异(P>0.05)。结论颈动脉粥样硬化稳定性与非稳定性斑块患者,如若为高龄,同时又伴随有高血压病和(或)糖尿病与高脂血症等相关因素,其脑梗死的发病率可能出现无显著差异现象。

Objective To investigate the relationship between the carotid artery atheroselerosis plaque and the cere- bral infarction. Methods We analyzed the 268 in - patients diagnosed with carotid artery atheroselerosis which were divided into the stable plaque group and the unstable plaque group. Meanwhile, we collected some of them with hypertension, diabetes and hyper]ipidemia or not by high - frequency ultrasound and CT scan to analysis. Results Cerebral infarction was found on 103 patients（70.1% ）among the stable plaque group and on 93 patients （78.9%） among the unstable plaque group. There was no significant difference in the incidence of cerebral infaetion, suffering hypertension, diabetes and hyperlipidemia between stable plaque group and unstable plaque group （P 〉 0.05 ）. Conclusion Cerebral infarction is found in those two groups with no significant differences,if those in - patients were old and, suffering hypertension and diabetes and hyperlipidemia, etc.