缺血性脑血管病患者颈动脉粥样硬化性改变观察

摘要

目的 探讨缺血性脑血管病与颈动脉粥样硬化之间的关系.方法 选择2014年3月至2016年7月本院收治的45例缺血性脑血管病患者(观察组),以同期体检的45例健康正常人作为对照组.对两组进行颈动脉彩色多普勒超声检查,并比较分析组间差异.结果 对照组与观察组受检者颈动脉粥样硬化病变发生率分别为33.33％和71.11％,差异有显著性(P<0.05).观察组颈总动脉内中膜厚度及颈内动脉内中膜厚度均明显高于对照组,差异有显著性(P<0.05).结论 缺血性脑血管病与颈动脉粥样硬化密切相关,颈动脉粥样硬化可作为缺血性脑血管病的预测及评估指标.%Objective To explore the relationship between ischemic cerebrovascular disease and carotid atherosclerosis.Method Our hospital received 45 cases of patients with ischemic cerebrovascular disease were selected as the study group, physical examination of 45 cases of non ischemic cerebrovascular disease as the reference group. These subjects were examined by color Doppler ultrasound, and the incidence of carotid atherosclerosis in two groups was compared.Result The reference group and study group subjects with carotid atherosclerosis incidence rates were 33.33％ and 71.11％ (32/45), the carotid atherosclerosis group was significantly higher than that of the reference group, and the data have significant difference (P<0.05). Compared with the reference group, the carotid artery MT and carotid artery MT were significantly increased in the study group, and the difference was significant (P<0.05).Conclusion There is a close relationship between ischemic cerebrovascular disease and carotid atherosclerosis. Carotid atherosclerosis can be used as an important predictor of ischemic cerebrovascular disease.