目的：分析颈动脉粥样硬化斑块形成相关危险因素，以采取早期预防措施。方法对1256例体检者经超声检查颈动脉，测量颈动脉内-中膜厚度，分析体质量指数、高血压、血脂异常、糖尿病等与颈动脉硬化之间的关系。结果1256例体检者，共检出颈动脉粥样硬化442例，其中高体质量指数组18例，血脂异常组41例，高血压组38例，高血压合并血脂异常组48例，糖尿病组23例，吸烟组29例，对照组8例。各危险组与对照组差异有统计学意义（P ＜0．05），且高血压合并血脂异常、与单纯性高血压、血脂异常比较，差异有统计学意义（P ＜0．05）。结论血脂异常是颈动脉硬化的主要危险因素之一，血脂异常及高血压两者同时存在可加重动脉粥样硬化。%Objective To study the relationship of risk factors and carotid atherosclerotic plaque formation for the early prevention and interference of healthy people.Method One thousand two hundred and fifty-six cases were collected and carotid artery intima-media thickness was measured and the relationship between body mass index, hypertension,dyslipidemia,diabetes and carotid atherosclerosis analyzed.Results Four hundreds cases with carotid atherosclerosis were detected from 1 256 healthy people,including 1 8 high body mass index,41 dyslipidemia,38 hy-pertension,48 hypertension with abnormal blood lipid,23 diabetes,29 smoking,8 cases of control.There were sig-nificant difference between different risk groups and control group(P <0.05),and there were significant difference a-mong hypertension with blood lipid abnormality and hypertension,dyslipidemia(P <0.05).Conclusion Dyslipi-demia is the major risk factor of carotid atherosclerosis,dyslipidemia with hypertension can aggravate atherosclerosis.
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