颈动脉粥样硬化斑块危险因素分析

Factors Related to Atherosclerotic Plaque Formation of Carotid Artery

目的探讨颈动脉粥样硬化斑块形成的相关危险因素。方法 142例意识清楚的脑梗死患者和78例非脑血管病患者(对照组)的颈动脉行彩色Doppler超声检查。结果脑梗死组颈动脉粥样硬化斑块检出率64.8%,对照组检出率28.0%(P<0.01)。Logistic回归分析显示,年龄、高血压、糖尿病与颈动脉粥样硬化斑块形成相关(P<0.01)。结论颈动脉粥样硬化斑块形成是脑梗死的危险因素,年龄、高血压、糖尿病与颈动脉粥样硬化斑块形成有关。

Objective To investigate the factor related to atherosclerosis of carotid artery. Methods Carotid arteries of 142 conscious patients with cerebral infarction （CI） and 78 without cerebrovascular disease （NCVD） were detected with color Doppler ultrasonography. Resuits Atherosclerotic plaques were found in 64.8% （92/142） patients with CI, and in 28.0% （22/78） NCVD patients （P〈0.01）. Logistic regression analysis showed that incidence of atherosclerotic plaques correlated with age, hypertension, and diabetes mellitus （P〈0.01）. Conclusion Formation of atherosclerotic plaques is a risk factor to CI, and related with age, hypertension, and diabetes mellitus.