發(fā)布時間：2018-06-19 23:38

  本文選題：頸動脈疾病 + 腦缺血��； 參考：《中華神經科雜志》2006年06期

【摘要】：目的探討頸動脈粥樣硬化與進展性缺血性腦卒中的關系。方法采用彩色多普勒超聲儀對564例缺血性腦卒中患者的頸動脈進行評估,比較進展性缺血性腦卒中和非進展性缺血性腦卒中患者的頸動脈粥樣硬化特征和程度。結果564例缺血性腦卒中患者有135例為進展性缺血性腦卒中(23.8%);在重度頸動脈粥樣硬化110例中,有49例(44.5%)發(fā)展為進展性卒中;在重度頸動脈狹窄95例中,有48例(50.5%)發(fā)展為進展性卒中;在病理表現(xiàn)為潰瘍斑86例中,有47例(54.7%)發(fā)展為進展性卒中:無頸動脈粥樣硬化或伴輕度頸動脈粥樣硬化的缺血性腦卒中患者,僅9%～10%發(fā)生進展性卒中。經Logistic回歸分析發(fā)現(xiàn),頸動脈粥樣硬化程度、狹窄程度以及潰瘍斑與進展性缺血性卒中的發(fā)生成正相關。結論頸動脈粥樣硬化與進展性缺血性腦卒中的發(fā)生密切相關,頸動脈粥樣硬化的嚴重程度可作為進展性缺血性腦卒中的預測指標。
[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.
【作者單位】：
【分類號】：R743.3

【參考文獻】

相關期刊論文 前2條

1 易興陽!325200,張順開!325200,潘繼豹!325200,潘光強!325200,胡永啟!325200,陳步滿!325200,林瑞聲!325200,余昌明!325200;低分子肝素對進展性缺血性腦卒中預防作用的探討[J];臨床神經病學雜志;2001年04期

2 易興陽,潘光強,余昌明,陳步滿,林瑞聲,張順開;頸動脈粥樣硬化與腦梗死復發(fā)的關系探討[J];中華神經科雜志;2002年02期

【共引文獻】

相關期刊論文 前10條

1 華卡;復方丹參注射液治療急性腦梗死臨床藥效分析[J];中醫(yī)藥臨床雜志;2004年04期

2 張波,鄭軍,鮑遠程,蔡永亮,陳懷珍,王艷昕,王曉e，

本文編號：2041850