CAJ | 학술논문

　　目的探讨脑动脉粥样硬化患者中医证型与颈动脉超声改变的相关性研究。方法对78例脑动脉粥样硬化患者进行中医证型分型，并检查患者颈动脉的超声改变情况；比较不同证型患者在颈动脉内膜-中层厚度、斑块积分、斑块性质的差异。结果①脑动脉粥样硬化患者的中医证型主要为痰浊、血瘀、气虚和肾虚；②不同中医证型斑块性质差异有统计学意义(P<0.05)；③脑动脉粥样硬化患者的痰浊型、血瘀型与Crouse 积分呈正相关(r痰浊型=0.79, r血瘀型=0.76)。结论脑动脉粥样硬化的病机为本虚（气虚、肾虚）标实（痰浊、血瘀）；痰浊证及血瘀证是脑动脉粥样硬化的高危因素，与颈动脉超声改变密切相关。
　　목적탐토뇌동맥죽양경화환자중의증형여경동맥초성개변적상관성연구。방법대78례뇌동맥죽양경화환자진행중의증형분형，병검사환자경동맥적초성개변정황；비교불동증형환자재경동맥내막-중층후도、반괴적분、반괴성질적차이。결과①뇌동맥죽양경화환자적중의증형주요위담탁、혈어、기허화신허；②불동중의증형반괴성질차이유통계학의의(P<0.05)；③뇌동맥죽양경화환자적담탁형、혈어형여Crouse 적분정정상관(r담탁형=0.79, r혈어형=0.76)。결론뇌동맥죽양경화적병궤위본허（기허、신허）표실（담탁、혈어）；담탁증급혈어증시뇌동맥죽양경화적고위인소，여경동맥초성개변밀절상관。
Objective To observe the relation for cerebral atherosclerosis TCM syndromes and carotid ultrasound changes. Methods: carotid intima - media thickness, plaque score, plaque nature of differences, TCM type in 78 cases of cerebral atherosclerosis in patients were detected. Results: ①the mainly types of TCM in cerebral atherosclerosis in patients were phlegm, blood stasis, qixu and shenxu. ②there is significantly different in TCM plaque. ③there were positive correlation between Cerebral atherosclerosis in patients with type phlegm, blood stasis and Crouse score(R phlegm = 0.79, R stasis = 0.76).conclusions: Cerebral atherosclerosis disease base on virtual (qi, kidney) and biaoshi (phlegm, blood stasis), phlegm and blood stasis is the brain atherosclerosis risk factors, and is closely related to changes in carotid ultrasound .