[摘要] 目的 探討颈动脉粥样硬化斑块与脑梗死痰瘀证发病的关系。方法 方便选择该院2017年3月—2018年3月脑梗死患者90例，以GE ViVid7彩色多普勒超声诊断仪探测患者颈动脉血管信号为依据，分析痰淤证脑梗死的发病与颈动脉斑块形成的关系，并回顾性分析1年前不同超声诊断指标对痰淤证脑梗死发病率影响，以指导痰淤证脑梗死的预防。结果 颈动脉斑形成与痰淤证脑梗死密切相关，有颈动脉斑块痰瘀证脑梗死发病率(85.3%)高于无颈动脉斑块患者(46.7%)(χ2=11.22，P=0.01)。回顾性分析颈动脉血管病变与痰淤证脑梗死发病的关系结果显示，患者1年前超声检测提示内膜增厚、软斑块、混合斑块形成患者痰淤证脑梗死的发病率高，差异有统计学意义(χ2=14.33， P=0.000;χ2=4.155， P=0.042;χ2=6.087， P=0.014)，硬斑块、狭窄>50%未显示关联，差异无统计学意义(χ2=2.048， P=0.152;χ2=0.000，P=1.000)。 结论 颈动脉斑块形成患者痰淤证脑梗死的发病率显著高于非斑块形成患者，这种发病率可以被超声诊断提前预测。
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 [关键词] 彩色多普勒超声;颈动脉粥样硬化斑块;颈动脉;脑梗死痰瘀证

 [中图分类号] R445.1 [文献标识码] A [文章编号] 1674-0742(2019)08(a)-0010-04

 [Abstract] Objective To investigate the relationship between carotid atherosclerotic plaque and the onset of cerebral infarction. Methods A total of 90 patients with cerebral infarction from March 2017 to March 2018 in our hospital were conveniently selected. The GE ViVid7 color Doppler ultrasound diagnostic apparatus was used to detect the carotid vascular signal. The pathogenesis and neck of cerebral infarction were analyzed. relationship of atherosclerotic plaque formation， and retrospective analysis of the impact of different ultrasound diagnostic indicators on the incidence of cerebral infarction caused by phlegm and stasis syndrome 1 year ago， to guide the prevention of cerebral infarction. Results Carotid plaque formation was closely related to cerebral infarction. The incidence of cerebral infarction was higher in carotid plaque syndrome (85.3%) than in patients without carotid plaque (46.7%). There was a statistical difference(χ2=11.22， P=0.01). Retrospective analysis of the correlation between carotid vascular disease and stagnation syndrome cerebral infarction showed that the patient's ultrasound examination 1 year ago showed that the incidence of intimal thickening， soft plaque， mixed plaque formation in patients with stagnation syndrome cerebral infarction is high， and statistically significant (χ2= 14.33， P=0.000; χ2=4.155， P=0.042; χ2 = 6.087， P=0.014)， hard plaque， stenosis > 50% did not show relationship， no statistics difference (χ2=2.048， P=0.152; χ2=0.000， P=1.000). Conclusion The incidence of cerebral infarction in patients with carotid plaque formation is significantly higher than that in patients with non-plaque formation. This incidence can be predicted in advance by ultrasound diagnosis.

 [Key words] Color Doppler ultrasound; Carotid atherosclerotic plaque; Carotid artery; Cerebral infarction, 百拇医药(王秀娟 赵翌霖 方彩霞 郭川 秦洁琼) 第 1 2 3 页 下一页
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