急性缺血性脑卒中与高血压颈动脉斑块的相关性

Correlation between Acute Ischemic Stroke and Carotid Plaque in Hypertension

目的:探析急性缺血性脑卒中与高血压颈动脉斑块的相关性。方法:选取2017年6月~2018年12月某院收治的110例原发性高血压患者为研究对象,将发生急性缺血性脑卒中的52例患者归为观察组,将未发生急性缺血性脑卒中的58例患者归为对照组,对两组的颈动脉斑块形成率及颈动脉斑块与急性缺血性脑卒中的相关性进行分析。结果:观察组的颈动脉斑块形成率为69.23%,明显高于对照组的46.55%,两组差异显著(P<0.05);经Logistic多因素分析,颈动脉斑块是导致原发性高血压患者发生急性缺血性脑卒中的独立危险因素。结论:颈动脉斑块是高血压患者并发急性缺血性脑卒中的主要危险因素,故在临床治疗上一方面要对患者进行抗脑卒中治疗,另一方面还需针对颈动脉斑块的形成进行积极预防,以降低急性缺血性脑卒中的发生率,提升患者的生存质量。

Objective： To explore the correlation between acute ischemic stroke and hypertensive carotid plaque. Methods：110 patients with essential hypertension treated in a hospital from June 2017 to December 2018 were selected and 52 patients with acute ischemic stroke were classified as observation group, 58 pa tients without acute ischemic stroke were classified as control group. The carotid plaque formation rate and the correlation between carotid plaque and acute ischemic stroke were analyzed. Results： The rate of carotid plaque formation in the observation group was 69.23% ,which was significantly higher than that in the con trol group （46.55 %,P〈0.05） . Bylogistic regression analysis , the carotid plaque was the independent risk factor leading to acute ischemic stroke in patients with essential hypertension. Conclusion： Carotid plaque is the main risk factor of acuteischemic stroke in patients with hypertension. On the other hand, it is necessary to prevent the formation of carotid plaque in order to reduce the incidence of acute ischemic stroke and im prove the quality of life of patients.