颈动脉粥样硬化与缺血性脑卒中的相关性研究

The Relationship Between Carotid Atherosclerosis and Ischemic Stroke

目的探讨分析颈动脉粥样硬化与缺血性脑卒中的相关性,为脑卒中的防治提供参考。方法 104例经颈动脉血管B超检查确诊为缺血性脑卒中的患者为研究组,101例健康体检者为对照组,采用高频多普勒彩色超声仪检测入选患者的双侧颈动脉超声。结果研究组中膜增厚伴斑块患者79例(占75.96%),患者管腔狭窄位置好发于颈动脉分叉处,与卒中部位具有同侧相关性,对照组中膜增厚伴斑块患者12例(占11.88%),两组比较差异有统计学意义(P<0.05)。结论多普勒彩色超声检测颈动脉粥样硬化斑块,对诊断缺血性脑卒中有重要的预警意义。

Objective To analyze the correlation between carotid atherosclerosis and ischemic stroke and to provide references for the prevention and treatment of stroke. Methods 104 patients diagnosed as ischemic stroke by carotid B ultrasound were chosen as the study group, 101 cases of healthy people were chosen as the control group, using high-frequency color Doppler ultrasound to detect enrolled patients with bilateral carotid artery ultrasound. Results Among the patients in study group, there were 79 cases of membrane thickening（75.96%）, the stenosis occurred in the position of the carotid bifurcation, having homolateral correlation with the stroke position; in control group there were 12 cases of membrane thickening（11.88%）, the difference was statistically significant（P〈0.05）. Conclusion The detection by color Doppler ultrasound of carotid atherosclerotic plaque has an important warning significance for the diagnosis of ischemic stroke.