缺血性脑血管病与颈动脉粥样硬化的关系

Relationship between ischemic cerebrovascular disease and carotid atherosclerosis

目的:探讨缺血性脑血管病与颈动脉粥样硬化的关系。方法:收治急性缺血性脑血管病患者200例,分为脑梗死组和短暂性脑缺血发作组。选择健康体检者100例作为对照组。3组均用颈动脉彩色超声诊断仪检查。结果:脑梗死组和短暂性脑缺血发作组颈总动脉内中膜厚度明显增厚,且斑块检出率明显高于对照组(P<0.05)。脑梗死组与短暂性脑缺血发作组斑块检出率比较,差异无统计学意义(P>0.05)。结论:颈动脉粥样硬化斑块与缺血性脑血管病关系密切。

Objective:To investigate the relationship between ischemic cerebrovascular disease and carotid atherosclerosis.Methods:200 cases of patients with acute ischemic cerebrovascular disease were divided into the cerebral infarction group and the transient ischemic attack group.100 cases of healthy people were as the control group.The three groups were examined by color doppler ultrasonography.Results:The carotid intima-media thickness of the cerebral infarction group and the transient ischemic attack group were thickening significantly,and the plaque detection rate was significantly higher than that of the control group (P<0.05).There was no significant difference of plaque detection rate between the cerebral infarction group and the transient ischemic attack group (P>0.05).Conclusion:Carotid atherosclerotic plaque was closely related to the ischemic cerebrovascular disease.