颈动脉斑块与脑梗死相关性分析

The correlation of carotid artery plaque and cerebral infarction were analyzed

目的探讨颈动脉斑块发生与脑梗死的相关性及临床影像学分型中的差异。方法选取2006年3月至2014年3月山西省原平市卫生监督所经头颅CT或WRI确诊的150例脑梗死患者和150例亚健康非脑梗死患者进行对照其颈动脉斑块发生阳性率,并进一步分析颈动脉斑块发生与脑梗死临床和影像学分型之间的差异以及相关性。结果脑梗死组斑块发生阳性率为90%(135/150)对照组斑块发生阳性率为46.7%(70/150),差异有统计学意义(χ2=21.1,P<0.01)。脑梗死组内,按临床分型斑块发生阳性率由高到低的次序分别为前循环皮质梗死(97.82%),腔隙性梗死(96.97%)基底节区梗死(93.62%),后循环梗死(58.33%),前三种梗死与对照组比较斑块发生阳性率显著升高,差异有统计学意义(P<0.01)而后循环梗死阳性率偏高,但差异无统计学意义(P>0.05)。结论颈动脉斑块发生对脑梗死患者有一定预测作用,同时对脑梗死临床影像学分型的诊断治疗也有一定参考价值。

Objective To investigate the correlation of carotid artery plaque and cerebral infarction and its clinical effect differences in type of credits. Methods From March 2006 to March 2014, 150 patients were selected by head CT or mri with cerebral infarction of Yuanping municipal health supervision institute in cerebral infarction patients and 150 cases of sub-health compare the positive rate of carotid plaques, and further analyze the clinical and imaging in cerebral infarction group credit differences in type, using logistic regression analysis of carotid plaque and cerebral infarction clinical and imaging of the correlation between type of credits. Results the cerebral infarction group patches occur, positive rate was 9%(135/150) control plaque positive rate was 46.7%(70/150), the difference was statistically significant(x2=21.1, P<0.01). Cerebral infarction group, according to clinical classification plaque occurs before the order of the positive rate from high to low respectively cycle cortical infarction(97.82%), lacunar infarction(96.97%) of the basal ganglia infarction(93.62%), posterior circulation infarction(58.33%), the first three infarction patches occur significantly increased positive rate compared with controls, the difference was statistically significant(P<0.01) and then circulation infarction, positive rate is on the high side, there was no statistically significant difference(P>0.05). Conclusion carotid plaques has certain prediction function in patients with cerebral infarction, cerebral infarction clinical images at the same time credit type also has certain reference value for the diagnosis and treatment.