急性缺血性卒中患者颈动脉斑块超声观察

发布时间：2018-03-28 17:34

  本文选题：卒中　切入点：超声检查　出处：《中国介入影像与治疗学》2017年12期

【摘要】：目的观察急性缺血性卒中患者的颈动脉斑块分布、管腔狭窄程度及不稳定斑块的危险因素。方法经头颅MRI证实的急性缺血性卒中患者909例为AIS组,选取同期非脑卒中住院患者885例为对照组,比较2组颈动脉斑块的分布及管腔狭窄程度。根据狭窄程度将AIS组分为狭窄率≥50%亚组及50%亚组,比较2亚组稳定性斑块与不稳定性斑块的检出率。比较AIS组不稳定斑块和非不稳定斑块患者的临床资料,以有统计学意义的指标为自变量,行多因素Logistic回归分析。结果 AIS组颈动脉多发斑块和不稳定斑块的检出率及管腔狭窄程度均显著高于对照组(P均0.001)。颈动脉狭窄率≥50%亚组的不稳定斑块检出率显著高于狭窄率50%亚组(P0.001)。单因素分析显示年龄、男性、糖尿病、血脂异常、吸烟及饮酒是AIS颈动脉不稳定斑块的危险因素(P均0.05);多因素分析显示年龄、糖尿病、血脂异常及吸烟是AIS颈动脉不稳定性斑块的独立危险因素(P均0.05)。结论颈动脉不稳定斑块、狭窄程度与AIS发生密切相关;年龄、糖尿病、血脂异常和吸烟是颈动脉不稳定斑块的独立危险因素。
[Abstract]:Objective to observe the distribution of carotid plaque, the degree of lumen stenosis and the risk factors of unstable plaque in patients with acute ischemic stroke. Methods 909 patients with acute ischemic stroke confirmed by cranial MRI were divided into AIS group. The distribution of carotid plaque and the degree of stenosis of carotid artery were compared between the two groups. According to the degree of stenosis, the AIS group was divided into two groups: the stenosis rate 鈮，

本文编号：1677337