CAJ | 학술논문

目的：观察糖尿病合并急性脑梗死老年患者颈动脉粥样硬化的临床症状。方法选取我科2011-01-2013-01收治的60例糖尿病合并急性脑梗死老年患者（观察组）和60例单纯急性脑梗死老年患者（对照组），对2组患者进行彩色多普勒超声仪检测，统计2组患者颈动脉管腔内径、颈动脉中膜厚度（M T ）、粥样硬化斑块位置、数量。结果观察组粥样硬化斑块检出率为78.3％，对照组为61.7％，差异具有统计学意义（ P＜0.05）。2组患者粥样硬化斑块多集中于颈总动脉分叉处，且右侧多于左侧。观察组双侧颈总动脉（CCA）、颈动脉狭窄总数及重度狭窄数等情况均多于对照组（P＜0.05）。此外，观察组患者颈动脉狭窄多以中、重度为主，有35例（71.7％）；对照组中、重度颈动脉狭窄28例（41.6％），两者差异有统计学意义（ P＜0.05）。结论糖尿病合并急性脑梗死老年患者粥样硬化情况较单纯急性脑梗死老年患者更为严重，患者颈动脉狭窄情况也更为恶劣，临床需给予高度重视。
목적：관찰당뇨병합병급성뇌경사노년환자경동맥죽양경화적림상증상。방법선취아과2011-01-2013-01수치적60례당뇨병합병급성뇌경사노년환자（관찰조）화60례단순급성뇌경사노년환자（대조조），대2조환자진행채색다보륵초성의검측，통계2조환자경동맥관강내경、경동맥중막후도（M T ）、죽양경화반괴위치、수량。결과관찰조죽양경화반괴검출솔위78.3％，대조조위61.7％，차이구유통계학의의（ P＜0.05）。2조환자죽양경화반괴다집중우경총동맥분차처，차우측다우좌측。관찰조쌍측경총동맥（CCA）、경동맥협착총수급중도협착수등정황균다우대조조（P＜0.05）。차외，관찰조환자경동맥협착다이중、중도위주，유35례（71.7％）；대조조중、중도경동맥협착28례（41.6％），량자차이유통계학의의（ P＜0.05）。결론당뇨병합병급성뇌경사노년환자죽양경화정황교단순급성뇌경사노년환자경위엄중，환자경동맥협착정황야경위악렬，림상수급여고도중시。
Objective To analyze the clinical characteristics of carotid artery atherosclerosis in elderly patients with diabe-tes complicated with acute cerebral infarction.Methods 60 cases of elderly diabetic patients with acute cerebral infarction From January 2011 to January 2013 were selected in (study group) and 60 cases of elderly patients with acute cerebral infarction alone (control group) ,two groups of patients were examined with multi -colored Doppler ultrasound ;the data of carotid artery lu-men diameter ,carotid artery intima-media thickness (MT) ,and atherosclerotic plaque location ,quantity were colected.Results The detection rate of atherosclerotic plaque in the study group was 78.3% and that in the control group was 61.7% ,a sig-nificant difference was statistically significant P<0.05). atherosclerotic plaques in Two groups of patients are more concentrat-ed in the bifurcation of the common carotid artery and more in the right than in the left. the total number of carotid artery ste-nosis and severe stenosis and other circumstances in the study group was more than that in the control group (P<0.05). In ad-dition ,in the observation group ,most of the patients with carotid stenosis were moderate or severe based stenosis ,whic was 35 cases (71.7% );In the control group ,28 cases were severe carotid stenosis (41.6% ) ,the difference was significant (P<0.05).Conclusion The situation of carotid artery atherosclerosis in elderly Diabetics with acute cerebral infarction is more seri-ous than those of elderly patients with acute cerebral infarction alone ,The situation of carotid artery stenosis is worse ,we should pay more attention to them.