颈动脉粥样硬化与进展性缺血性脑卒中的关系

发布时间：2018-06-19 23:38

本文选题：颈动脉疾病 + 脑缺血　；参考：《中华神经科杂志》2006年06期

【摘要】：目的探讨颈动脉粥样硬化与进展性缺血性脑卒中的关系。方法采用彩色多普勒超声仪对564例缺血性脑卒中患者的颈动脉进行评估,比较进展性缺血性脑卒中和非进展性缺血性脑卒中患者的颈动脉粥样硬化特征和程度。结果564例缺血性脑卒中患者有135例为进展性缺血性脑卒中(23.8%);在重度颈动脉粥样硬化110例中,有49例(44.5%)发展为进展性卒中;在重度颈动脉狭窄95例中,有48例(50.5%)发展为进展性卒中;在病理表现为溃疡斑86例中,有47例(54.7%)发展为进展性卒中:无颈动脉粥样硬化或伴轻度颈动脉粥样硬化的缺血性脑卒中患者,仅9%～10%发生进展性卒中。经Logistic回归分析发现,颈动脉粥样硬化程度、狭窄程度以及溃疡斑与进展性缺血性卒中的发生成正相关。结论颈动脉粥样硬化与进展性缺血性脑卒中的发生密切相关,颈动脉粥样硬化的严重程度可作为进展性缺血性脑卒中的预测指标。
[Abstract]:Objective to investigate the relationship between carotid atherosclerosis and progressive ischemic stroke. Methods the carotid artery of 564 patients with ischemic stroke were evaluated by color Doppler ultrasound, and the characteristics and degree of carotid atherosclerosis were compared between progressive ischemic stroke and non-progressive ischemic stroke. Results among 564 patients with ischemic stroke, 135 had progressive ischemic stroke, 49 out of 110 patients with severe carotid atherosclerosis, 49 with progressive stroke and 95 with severe carotid stenosis. In 48 patients with progressive stroke, 47 of 86 patients with ulcer plaque developed progressive stroke: patients without carotid atherosclerosis or ischemic stroke with mild carotid atherosclerosis, Only 9% had progressive stroke. Logistic regression analysis showed that the degree of carotid atherosclerosis, stenosis and ulcer plaque were positively correlated with the occurrence of progressive ischemic stroke. Conclusion carotid atherosclerosis is closely related to the occurrence of progressive ischemic stroke, and the severity of carotid atherosclerosis can be used as a predictor of progressive ischemic stroke.
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【分类号】：R743.3

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