CAJ | 학술논문

目的：研究吸烟饮酒者的颈动脉病变及两者之间的相关性。方法采用连续入组的方法，对2013年5月~2013年10月在包头中心医院神经内科住院及门诊就诊的吸烟、饮酒患者及年龄、基础病变相匹配的男性患者200例分为两组进行颈动脉彩色多普勒超声检测，描记颈动脉内膜、斑块、狭窄及闭塞等病变，比较各组的颈动脉病变的发生率。结果根据入组标准及排除标准，分为吸烟组与吸烟饮酒组，每组入组100例进行比较，吸烟饮酒组颈动脉内膜厚度、斑块大小及数量与吸烟组无明显差异（P>0.05），但狭窄发生率与吸烟组差异有统计学意义（P<0.05）。结论吸烟与饮酒共存的情况下颈动脉病变的发生率显著下降，为进一步研究吸烟与饮酒之间的关联对疾病的影响奠定基础。
목적：연구흡연음주자적경동맥병변급량자지간적상관성。방법채용련속입조적방법，대2013년5월~2013년10월재포두중심의원신경내과주원급문진취진적흡연、음주환자급년령、기출병변상필배적남성환자200례분위량조진행경동맥채색다보륵초성검측，묘기경동맥내막、반괴、협착급폐새등병변，비교각조적경동맥병변적발생솔。결과근거입조표준급배제표준，분위흡연조여흡연음주조，매조입조100례진행비교，흡연음주조경동맥내막후도、반괴대소급수량여흡연조무명현차이（P>0.05），단협착발생솔여흡연조차이유통계학의의（P<0.05）。결론흡연여음주공존적정황하경동맥병변적발생솔현저하강，위진일보연구흡연여음주지간적관련대질병적영향전정기출。
Objective To study carotid artery lesions in persons with smoking and drinking as well as the correlations between them. Methods Two hundred patients of neurology department from Baotou central hospital from May 2013 to October 2013 were continuously enrolled and all patients received a color Doppler ultrasound examination to evaluate the carotid intima, plaque, stenosis and occlusion lesions. The incidences of carotid artery lesions between the two groups were compared. Results According to inclusion criteria and exclusion criteria, patients were divided into smoking and smoking-drinking group and each group has 100 cases. There were no significant differences in carotid intima thickness, plaque size and quantity between two groups P>0.05), however the incidence of carotid artery stenosis in smoking group was significantly higher than that of smoking-drinking group (P<0.05). Conclusions Smoking and drinking coexist may reduce the incidence of carotid artery stenosis in comparison of smoking alone. This result provided the foundation to further study the correlation between carotid artery lesions and smoking and drinking.