河北医学2016，Vol.22Issue(12)：1939-1942,4.DOI:10.3969/j.issn.1006-6233.2016.12.002
脑梗死患者颈动脉粥样硬化斑块分析及其对患者复发的影响
Analysis of Carotid Atherosclerotic Plaque in Patients with Cerebral Infarction and its Effect on Patients with Recurrence
摘要
Abstract
Objective:To study carotid atherosclerotic plaque in patients with cerebral infarction and its effect on patients with recurrence. Methods:262 patients with acute cerebral infarction ( ACI) admitted in the hospital from January 2014 to December 2015 were selected as objects, the detection of plaque group 180 ca-ses, 82 cases were not detected in plaque group;213 cases of primary patients, 49 cases of patients with re-currence. After 3 months of follow-up, the recurrence of patients were compared, analysis of the relationship between plaque and cerebral infarction recurrence, compared with plaque group and no plaque group related clinical indicators, analysis of risk factors for plaque formation. Results:The recurrence rate of plaque group was significantly higher than that of non plaque group, the recurrence time was significantly shorter than non plaque group, the difference was statistically significant ( P < 0.05) . The non vulnerable plaque group relapse rate was significantly lower than that of vulnerable plaque group, the recurrence time was significantly longer than the vulnerable plaque group, the difference was statistically significant ( P <0.05) . Patients with primary and recurrent patients with BIF plaques were more common, and more in left than in the right side, the differ-ence was statistically significant ( P < 0.05) . The age, high blood pressure, diabetes and high blood lipids of the plaque group were significantly higher than those without plaque group, the difference was statistically sig-nificant (P < 0.05). According to the Logistic regression analysis, the risk factors of plaque formation were age and hypertension, diabetes and high blood fat. Conclusion:CAP can lead to ACI patients more prone to relapse, especially vulnerable plaque, but also should cause clinical attention.关键词
脑梗死/颈动脉/粥样硬化斑块Key words
Cerebral infarction/Carotid artery/Atherosclerotic plaque引用本文复制引用
陈彩华,郑叶祥,查达珍,郑志雄..脑梗死患者颈动脉粥样硬化斑块分析及其对患者复发的影响[J].河北医学,2016,22(12):1939-1942,4.基金项目
福建省自然科学基金项目编号,(编号:2016J01659) （编号:2016J01659）
