颈动脉不稳定粥样斑块与进展性脑卒中的相关性分析

Relationship between carotid artery instable plaque and progressive cerebral infarction

目的:观察颈动脉不稳定斑块与进展性脑卒中的相关性,探讨进展性脑卒中的预测因素,指导临床治疗。方法:急性缺血性脑卒中126例,根据临床表现分为进展性脑卒中组42例,非进展性卒中组64例,根据颈动脉检查又将脑卒中分为无斑块组、稳斑块组和不稳定斑块组进行比较。结果:进展组颈动脉斑块发生率远高于非进展组,进展组以不稳定斑块为主,发生率也高于非进展组。结论:颈动脉粥样斑块不稳定性与进展性脑卒中的发生密切相关,颈动脉超声监测不稳定粥样斑块对预测脑卒中的病情发展有重要临床意义。

Objectlve To observe the relation between carotid artery instable plaque and progressive cerebral infarction,then to investi- gate the ways of prediction and treatment. Method 126 patients with acute cerebral infarction were divided into progressing group and non -progressing group based on clinical manifestation. According to carotid uhrasonography, the patients were divided into no plaque group, stable plaque group and instable plaque group. Results Instable plaque was the main type of plaque in the progressing group, and the inci- dence of it was higher in the progressing group than in the non - progressing group. Conclusion Instable carotid plaque may be closely re- lated to ischemic stroke in progressive,testing the instable plaque with carotid uhrasonography is an important method to predict the serious level and progress in ischemic stroke patients.