138例脑梗死与颈动脉粥样硬化关系的临床研究

Study on the correlation between cerebral infarction and carotid atherosclerosis

目的:探讨脑梗死与颈动脉粥样硬化的关系。方法:对138例脑梗死患者及150例非脑血管病者行颈部血管彩色多普勒检查,比较两组间的颈动脉内-中膜厚度及斑块发生率。结果:脑梗死组颈动脉内-中膜明显厚于对照组(P<0.05)。脑梗死组斑块发生率(71.0%)明显高于对照组(37.2%)(P<0.05)。结论:颈动脉粥样硬化与脑梗死密切相关,是脑梗死不可忽视的危险因素。

Objective： To study the correlation between cerebral infarction and carotid atherosclerosis. Methods： Color Doppler Ultrasonography of the carotid artery were performed on 138 patients with cerebral infarction and 150 people without cerebrovascular diease. The intima-media thickness（IMT） of the posterial wall and plaques at carotid artery were studied. Results： The IMT in cerebral infarction patients were significantly thicker than that in control group （P 〈0.05）. And the plaque presence of carotid artery was found 98/138（71.0%） in cerebral infarction , 55/150（37.2%） in control group. There was significant difference between two groups （P 〈0.05）. Conclusion： Carotid atherosclerosis is correlated to cerebral infarction and is an important risk factor to cerebral infarction.