脑卒中危险因素及颈动脉超声在颈动脉狭窄筛查中的应用价值研究

Study on the risk factors of stroke and the value of carotid ultrasonography in the screening of carotid stenosis

目的:探讨脑卒中危险因素及颈动脉超声在颈动脉狭窄筛查中的应用价值。方法:选取昆明医科大学海源学院教职工300例,均行体格检查及问卷调查,对不同年龄段的颈动脉超声进行分析及脑卒中危险因素多因素Logistic分析。结果:60岁及60岁以上内膜增厚及斑块形成发生率高于27~60岁,差异有统计学意义(P<0.05);高血压、体重及运动量是脑卒中的危险因素,差异有统计学意义(P<0.05)。结论:高血压、体重、运动量均为脑卒中的危险因素,应针对其危险因素进行干预,预防脑卒中的发生,同时,应定期进行颈动脉超声检查,实现早发现脑卒中前期者,进而及早采取干预措施并进行治疗。

Objective:To explore the risk factors of stroke and the value of carotid ultrasound in the screening of carotid artery stenosis.Methods:300 staff members of Haiyuan College of Kunming Medical University were selected and investigated by physical examination and questionnaire.Carotid ultrasound in different age groups and multivariate Logistic analysis of risk factors of stroke were performed.Results:The incidence of intimal thickening and plaque formation in 60 and over 60 years old was significantly higher than that in 27 to 60 years old,the difference was statistically significant(P<0.05);Hypertension,body weight and exercise were risk factors of stroke(P<0.05).Conclusion:Hypertension,body weight and exercise are all risk factors of stroke.Intervention should be carried out according to their risk factors to prevent the occurrence of stroke.At the same time,carotid ultrasound examination should be carried out regularly to achieve early detection of stroke.And then take intervention measures and treatment as soon as possible.