120例脑梗死患者颈动脉硬化状况分析

Analysis of cervical arteriosclerosis in 120 cerebral infarction patients

目的探讨急性脑梗死患者颈动脉粥样硬化的发病情况及与急性脑梗死的关系。方法对120例急性脑梗死患者采用美国ATL-3000彩色多普勒超声诊断仪行颈动脉超声检测,并对其有无动脉粥样斑块和狭窄及阻力指数进行评估和分析。结果急性脑梗死患者颈动脉粥样斑块的发生率为82.5%,颈动脉狭窄的发生率为7.5%.97例高血压患者中检出颈动脉病变66例,检出率68%;49例血脂异常患者中检出颈动脉病变23例,检出率47%;14例糖尿病患者中检出颈动脉病变5例,检出率36%。结论颈动脉粥样硬化与脑梗死有密切的相关性。超声检查能早期发现颈动脉粥样硬化,对有效预防脑梗死的发生有重要意义。

Objective To approach the relationship between the acute cerebral infarction and the cervical arteriosclerosis.Methods To do ultrasonic test of arteria carotis in 120 acute cerebral infarction patients with colorful Doppler ultrasonograph（ATL-3000,US） and evaluate its artery atheromatous plaque,stenosis and resistent index. Results The incidence rate of atheromatous plaque and carotid artery stenosis was 82.5%and 7.5%respectively in acute cerebral infarction patients.66 patients were detected with cervical arteriopathy in 97hypertension patients with high risk factor（68%） .23 patients were detected with cervical arteriopathy in 49 patients with abnormal bloodfat（47%） .5 patients were detected with cervical arteriopathy in 14 diabetic patients（36%） .Conclusion There were intimate correlation between the cervical arteriosclerosis and the cerebral infarction.Ultrasonic inspection could detect out the cervical arteriosclerosis early and prevent the development of the cerebral infarction.