颈动脉粥样硬化斑块发生的危险因素及预防对策研究

Risk Factors and Preventive Measures of Carotid Atherosclerotic Plaque

目的分析颈动脉粥样硬化(CAS)斑块发生的危险因素及预防对策。方法选择我院2019年2月-2021年2月门诊接诊的120例接受颈动脉彩色多普勒超声检查患者为研究对象。根据有无CAS斑块分组,将78例有CAS斑块的患者作为观察组,42例无CAS斑块的患者作为参照组,分析CAS斑块形成的危险因素,并提出预防对策。结果两组糖尿病、高血压、吸烟、高盐饮食、Hcy、UA比较,差异有统计学意义(P<0.05);观察组性别、年龄、病程、体重、TG、TC、LDL-C、HDL-C比较,差异无统计学意义(P>0.05);糖尿病、高血压、吸烟、高盐饮食、Hcy、UA是引发CAS斑块形成的危险因素(P<0.05)。结论糖尿病、高血压、吸烟、高盐饮食、Hcy、UA高表达是引发CAS斑块形成的危险因素,应及早予以针对性处理,尽可能预防CAS斑块形成发生。

Objective To analyze the risk factors and preventive measures of carotid atherosclerosis(CAS)plaque.Methods A total of 120 patients receiving carotid artery color Doppler ultrasound in our hospital from February 2019 to February 2021 were selected as the research objects.According to the CAS plaque group,78 patients with CAS plaque were selected as the observation group,and 42 patients without CAS plaque were selected as the reference group.The risk factors of CAS plaque formation were analyzed,and the preventive measures were put forward.Results There were significant differences in diabetes,hypertension,smoking,high salt diet,Hcy and UA between the two groups(P<0.05).There was no significant difference in gender,age,course of disease,body weight,TG,TC,LDL-C and HDL-C in the observation group(P>0.05).Diabetes,hypertension,smoking,high-salt diet,Hcy and UA were the risk factors for the formation of CAS plaque(P<0.05).Conclusion Diabetes,hypertension,smoking,high-salt diet,high expression of Hcy and UA are the risk factors for the formation of CAS plaque,which should be treated as early as possible to prevent the formation of CAS plaque.