摘要
目的:探讨缺血性脑血管病与颈动脉病变的关系。方法:抽选近期内某院接收的53例缺血性脑血管病患者作为研究组,并选取同期在该院进行常规体检的50例健康人作为参照组。对这两组人员均进行颈动脉超声检查,并对比其颈动脉粥样斑块的发生率、颈动脉狭窄的发生率和颈动脉内中膜增厚的发生率。结果:研究组患者颈动脉粥样斑块的发生率为81.13%(43/53),其颈动脉狭窄的发生率为39.62%(21/53),其颈动脉内中膜增厚的发生率为92.45%(49/53)。参照组人员颈动脉粥样斑块的发生率为14.00%(7/50),其颈动脉狭窄的发生率为0%,其颈动脉内中膜增厚的发生率为11.32%(6/50)。与参照组人员相比,研究组患者颈动脉粥样斑块的发生率、颈动脉狭窄的发生率和颈动脉内中膜增厚的发生率均更高,差异有统计学意义(P<0.05)。结论:缺血性脑血管病与颈动脉病变密切相关。临床医生应对上述情况予以关注。
Objective： To explore the patients with ischemie cerebrovascular disease in the new situation and neck vascular ultrasound clinical application. Method： Draw between September 2014 to April 2016 in patients with ischemic cerebrovascular disease hospital received 53 cases as observed in this study group, and select the earlier non-ischemic cerebrovascular disease as control subjects were 50 cases group, comparative analysis of two sets of carotid artery ultrasound results. Results： In the observation group, intima thickening 49 cases （92.45%）, hypoechoic plaques eight cases （6.04%）, echogenic plaques in 11 patients （20.75%）, mixed echo plaque 24 cases （45.28%）; between the two groups, the observation group in the carotid intima-media thickening of carotid artery atherosclerotic plaque incidence rate than the control group, significant differences between the groups （P 〈 0.05）. Conclusion： Carotid ultrasound examination can confirm the inner membrane and neck arteries plaque, which may be imoortant as a method of diagnosis of ischemic cerebrovascular disease.
