颈动脉粥样硬化与脑梗死相关性的临床分析

Clinical Analysis on Relativity between Cerebral Infarction Carotid Atherosclerosis

[目的]探讨颈动脉粥样硬化与脑梗死的相关性。[方法]纳入110例经头颅CT、MRI证实为脑梗死的患者,用超声多普勒检查颈动脉颅外段血管,观察颈动脉壁的病变性质和颈动脉管腔的狭窄率,与对照组进行比较。[结果]110例脑梗死患者中81例(73.64%)颈动脉颅外段存在不同程度的粥样硬化斑,与对照组比较有统计学意义(P<0.05);粥样硬化斑块好发于颈总动脉动脉分叉处(BIF),其次为颈总动脉(CCA);梗死灶同侧颈动脉硬化较对侧严重。[结论]颈动脉粥样硬化是脑梗死的重要危险因素,防止颈动脉粥样硬化斑块形成及降低高血脂、高血糖等相关的危险因素对预防脑梗死的发生有非常重要的意义。

[Objective] To discuss the relativity between carotid atherosclerosis and cerebral infarction.[Method] Include 110 cases proved with CT and MRI,test far end vessel of carotid artery with Ultrasonic Doppler,observe lesion nature and canalis caroticus narrowness,compared with control group.[Result] There＇re 81 cases had different extent atherosclerosis spots,with statistical difference from control one;meanwhile,it found：the atherosclerosis spot often in BIF,secondly CCA;the infarction focal ipsilateral was comparatively severer.[Conclusion] Carotid atherosclerosis was the key factor of cerebral infarction;how to prevent atherosclerosis plaque and reduce hyperlipidemia and hyperglycemia and other relative risk factors was of key meaning to prevent cerebral infarction.