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目的探讨骨密度水平与不同类型颈动脉粥样硬化斑块之间的关系。方法选取164例经超声检查证实颈动脉粥样硬化斑块形成患者,根据超声特征分为软斑块组、混合斑块组和钙化斑块组;另取50例同期行超声检查未发现颈动脉粥样硬化斑块患者为对照组,测定骨密度水平。结果年龄、收缩压、脉压差、总胆固醇、低密度脂蛋白、空腹血糖是颈动脉粥样斑块发生的危险因素;骨密度降低与颈动脉钙化斑块发生之间密切相关,而与颈动脉混合斑块及软斑块发生无相关。结论骨密度水平降低是颈动脉钙化斑块发生的独立危险因素。
Objective To investigate the relationship between bone mineral density and different types of carotid atherosclerotic plaques. Methods 164 patients with carotid atherosclerotic plaque confirmed by ultrasonography were selected and divided into soft plaque group, mixed plaque group and calcified plaque group according to the characteristics of ultrasound. Another 50 patients underwent ultrasound examination without carotid artery Patients with atherosclerotic plaque as a control group, measured bone mineral density levels. Results Age, systolic blood pressure, pulse pressure difference, total cholesterol, low density lipoprotein, fasting blood glucose were the risk factors of carotid atherosclerotic plaque. The decrease of bone mineral density was closely related to the occurrence of carotid calcification plaque, Arterial plaque and soft plaque no correlation. Conclusion The decrease of BMD is an independent risk factor of carotid calcification plaque.