颈动脉彩超检查与脑梗死的临床表现分析

摘要

Objective: To observe the discussion colour to exceed to check the correlation of carotid atherosclerosis and cerebral infarction. Methods: Choose 144 cases of cerebral infarction patients as observation group;And there is no history of high blood pressure, to select 138 cases of cardiovascular disease and diabetes in old people as control group, the two groups do colour to exceed carotid check, observation analysis of the plaques and hemodynamic index. Results:the observation group of patients with carotid artery plaque detection rate was 76.4%;Peak systolic velocity(PSV), end-diastolic velocity(EDV), significantly lower than the control group, the difference was statistically significant (t=5.32, t=5.64, P<0.05);Vascular resistance index(RI), blood vessels, pulsation index (PI) is significantly higher than the control group, the difference was statistically significant(t=6.23, t=3.56, P<0.05). Conclusion:the incidence of cerebral infarction is associated with carotid atherosclerosis, unstable plaque is the main risk factors.%目的：观察探讨彩超检查颈动脉粥样硬化与脑梗死的相关性。方法：选取144例脑梗死患者作为观察组；同时选取138例无高血压、心血管疾病和糖尿病的老年人作为对照组，对两组行彩超颈动脉检查，观察分析其斑块和血流动力学指标。结果：观察组患者颈动脉斑块检出率为76.4%；收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)明显低于对照组，差异有统计学意义(t=5.32，t=5.64；P＜0.05)；血管阻力指数(RI)、血管搏动指数(PI)明显高于对照组，差异有统计学意义(t=6.23，t=3.56；P＜0.05)。结论：脑梗死发病率与颈动脉粥样硬化有关，不稳定斑块是主要的风险因素。