CAJ | 학술논문

目的：探讨老年再发脑梗死颈动脉易损斑块形成的危险因素。方法共纳入73例老年再发脑梗死患者，多层螺旋CT血管造影（MSCTA）对颈动脉易损斑块及颈动脉狭窄进行测定，Logistic回归分析研究颈动脉易损斑块形成的危险因素。结果老年再发脑梗死73例，经MSCTA定义的易损斑块组44例，非易损斑块组29例，Logistic回归分析显示低密度脂蛋白、血糖控制未达标、血压控制未达标、同型半胱氨酸、中度颈动脉狭窄是再发脑梗死易损斑块的独立危险因素（P＜0．05）。结论再发脑梗死颈动脉易损斑块形成与血脂、血压、血糖及同型半胱氨酸、颈动脉狭窄均有关。
목적：탐토노년재발뇌경사경동맥역손반괴형성적위험인소。방법공납입73례노년재발뇌경사환자，다층라선CT혈관조영（MSCTA）대경동맥역손반괴급경동맥협착진행측정，Logistic회귀분석연구경동맥역손반괴형성적위험인소。결과노년재발뇌경사73례，경MSCTA정의적역손반괴조44례，비역손반괴조29례，Logistic회귀분석현시저밀도지단백、혈당공제미체표、혈압공제미체표、동형반광안산、중도경동맥협착시재발뇌경사역손반괴적독립위험인소（P＜0．05）。결론재발뇌경사경동맥역손반괴형성여혈지、혈압、혈당급동형반광안산、경동맥협착균유관。
Objective To study the vulnerable carotid artery plaque in the elderly recurrent cerebral infarction.Methods Totally 73elderly cadres with recurrent cerebral infarction were evaluated for carotid artery plaque and carotid artery stenosis by CT angiography(CTA).We assessed risk factors for patients with vulnerable carotid artery plaque by Logistic regression analysis.Results Of the 73recurrent cerebral infarction pataients,44 were in the vulnerable plaque group and 29 were in the non-vulnerable plaque group.Andsuch risk foctors as low-density lipoprotein,diabetes,hypertension,serum homocysteine and moderate carotid stenosis included by Logis-tic regression equations were considered as independent risk factors for vulnerable carotid artery plaque(P <0.05).Conclusions Thefactors such as low-densitylipoprotein,diabetes,hypertension,serum homocysteine and moderate carotid stenosis were associated with thevulnerable carotid artery plaque in recurrent cerebral infarction.