CAJ | 학술논문

目的：分析颈动脉粥样硬化斑块形成相关危险因素，以采取早期预防措施。方法对1256例体检者经超声检查颈动脉，测量颈动脉内-中膜厚度，分析体质量指数、高血压、血脂异常、糖尿病等与颈动脉硬化之间的关系。结果1256例体检者，共检出颈动脉粥样硬化442例，其中高体质量指数组18例，血脂异常组41例，高血压组38例，高血压合并血脂异常组48例，糖尿病组23例，吸烟组29例，对照组8例。各危险组与对照组差异有统计学意义（P ＜0．05），且高血压合并血脂异常、与单纯性高血压、血脂异常比较，差异有统计学意义（P ＜0．05）。结论血脂异常是颈动脉硬化的主要危险因素之一，血脂异常及高血压两者同时存在可加重动脉粥样硬化。
목적：분석경동맥죽양경화반괴형성상관위험인소，이채취조기예방조시。방법대1256례체검자경초성검사경동맥，측량경동맥내-중막후도，분석체질량지수、고혈압、혈지이상、당뇨병등여경동맥경화지간적관계。결과1256례체검자，공검출경동맥죽양경화442례，기중고체질량지수조18례，혈지이상조41례，고혈압조38례，고혈압합병혈지이상조48례，당뇨병조23례，흡연조29례，대조조8례。각위험조여대조조차이유통계학의의（P ＜0．05），차고혈압합병혈지이상、여단순성고혈압、혈지이상비교，차이유통계학의의（P ＜0．05）。결론혈지이상시경동맥경화적주요위험인소지일，혈지이상급고혈압량자동시존재가가중동맥죽양경화。
Objective To study the relationship of risk factors and carotid atherosclerotic plaque formation for the early prevention and interference of healthy people.Method One thousand two hundred and fifty-six cases were collected and carotid artery intima-media thickness was measured and the relationship between body mass index, hypertension,dyslipidemia,diabetes and carotid atherosclerosis analyzed.Results Four hundreds cases with carotid atherosclerosis were detected from 1 256 healthy people,including 1 8 high body mass index,41 dyslipidemia,38 hy-pertension,48 hypertension with abnormal blood lipid,23 diabetes,29 smoking,8 cases of control.There were sig-nificant difference between different risk groups and control group(P <0.05),and there were significant difference a-mong hypertension with blood lipid abnormality and hypertension,dyslipidemia(P <0.05).Conclusion Dyslipi-demia is the major risk factor of carotid atherosclerosis,dyslipidemia with hypertension can aggravate atherosclerosis.