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目的探讨老年脑梗死与颈动脉粥样硬化斑块的关系。方法彩色多普勒超声仪分别对老年脑梗死患者(脑梗死组)和非脑梗死患者(对照组)的颈动脉进行检测,观察颈动脉粥样硬化斑块的发生及与血脂的关系。结果梗死组78例颈动脉有不同程度的粥样硬化斑块形成,发生率为78%。对照组11例有不同程度的粥样硬化斑块形成,发生率为18.33%,两组比较,差异有统计学意义。结论动脉超声检查可及早发现颈动脉粥样硬化斑块,积极控制危险因素,对预防和治疗老年脑梗死具有重要意义。
Objective To investigate the relationship between cerebral infarction and carotid atherosclerotic plaques in elderly patients. Methods Color Doppler ultrasound was used to detect carotid artery in elderly patients with cerebral infarction (cerebral infarction group) and non-cerebral infarction patients (control group) respectively. The occurrence of carotid atherosclerosis plaque and its relationship with serum lipids were observed. Results 78 cases of infarction group carotid artery with varying degrees of atherosclerotic plaque formation, the incidence was 78%. There were 11 cases of atherosclerotic plaque in the control group with the incidence of 18.33%. There was significant difference between the two groups. Conclusion Arterial ultrasonography can detect carotid atherosclerotic plaque as early as possible and actively control the risk factors, which is of great significance in the prevention and treatment of senile cerebral infarction.