中国临床保健杂志2016,Vol.19Issue(3):240-243,4.DOI:10.3969/J.issn.1672-6790.2016.03.005
急性前循环缺血性脑卒中与颈动脉粥样硬化斑块的相关性研究
The correlation between acute anterior circulation ischemic stroke and carotid atherosclerotic plaque
摘要
Abstract
Objective To analyze the relationship between acute ischemic stroke of anterior circulation and characteristics,stenosis rate,distribution of carotid atherosclerotic plaque,explore the influence factors of carotid ar-tery plaque.Methods A total of 188 patients with acute ischemic stroke of anterior circulation and 150 control indi-viduals with non-cerebral infarction were consecutively recruited.All individuals were examined by color Doppler ul-trasound for the stenosis of extracranial carotid arteries and blood biochemical.The plaque stability,distribution of ca-rotid atherosclerotic plaques were compared between two groups,and the formation factors of carotid plaque were ana-lyzed.Results The detection rate of carotid plaque in patients with cerebral infarction (72.3%)was higher than that of the control group (54.7%)(χ2 =1 1.38,P <0.01).Compared with the control group,the detection rate of unstable plaque of cerebral infarction group was higher(54.8% VS.31.3%,χ2 =18.59,P <0.01 ).Patients with cerebral infarction had higher rate of carotid stenosis,wider distribution,and higher detection rate of bilateral carotid artery plaque (P <0.05).The correlation analysis showed that the formation of carotid plaque was associated with age,sex,hypertension and smoking.Conclusion Carotid atherosclerosis is one of the important risk factors of acute anterior circulation ischemic stroke.There is a significant association between the formation of carotid atherosclerotic lesions and the age,gender,hypertension and smoking.关键词
卒中/斑块,动脉粥样硬化/危险因素Key words
Stroke/Plaque,atherosclerotic/Risk factors分类
医药卫生引用本文复制引用
徐鹏程,王天雄,吴小三,夏兰,黄永璐,高宗良..急性前循环缺血性脑卒中与颈动脉粥样硬化斑块的相关性研究[J].中国临床保健杂志,2016,19(3):240-243,4.基金项目
国家自然科学基金 ()