CAJ | 학술논문

目的：探讨脑梗死与颈动脉粥样斑块硬化之间的关系。方法对脑梗死患者和非脑梗死患者进行颈动脉彩色多普勒超声检查，分析脑梗死与颈动脉粥样硬化斑块之间的关系。结果脑梗死组颈动脉粥样硬化斑块检出率为73.1%，明显高于对照组的斑块检出率（20%，P <0.05）。脑梗死组的颈动脉软斑及混合斑检出率显著高于对照组（P <0.05）。高血压、血脂异常、糖尿病、LDL 升高、高纤维蛋白原是老年脑梗死颈动脉粥样硬化斑块形成的危险因素。结论脑梗死发病与颈动脉粥样硬化斑块相关，积极控制危险因素，对预防和治疗老年脑梗死具有重要意义。
목적：탐토뇌경사여경동맥죽양반괴경화지간적관계。방법대뇌경사환자화비뇌경사환자진행경동맥채색다보륵초성검사，분석뇌경사여경동맥죽양경화반괴지간적관계。결과뇌경사조경동맥죽양경화반괴검출솔위73.1%，명현고우대조조적반괴검출솔（20%，P <0.05）。뇌경사조적경동맥연반급혼합반검출솔현저고우대조조（P <0.05）。고혈압、혈지이상、당뇨병、LDL 승고、고섬유단백원시노년뇌경사경동맥죽양경화반괴형성적위험인소。결론뇌경사발병여경동맥죽양경화반괴상관，적겁공제위험인소，대예방화치료노년뇌경사구유중요의의。
Objective To investigate the relationship between cerebral infarction and carotid atherosclerotic artery plague. Methods Patients with cerebral infarction and patients without cerebral infarction received color Doppler ultrasonography for carotid artery. The relationship between cerebral in-farction and carotid artery atherosclerotic plague was analyzed. Results In cerebral infarction group,the detection rate of carotid artery atherosclerotic plague was 73. 1% ,which was significantly higher than that of control group(20% ,P < 0. 05). The detection rates of atherosclerotic soft plague and atherosclerotic mixed plague were also significantly higher than those of the control group. Hypertension,dyslipidemia, diabetes,elevated LDL,high fibrinogen were the risk factors for formation of the carotid artery atheroscle-rotic plaque in senior patients. Conclusions The incidence of cerebral infarction wis correlated with ca-rotid artery atherosclerotic plaque. Actively controlling the risk factor has a great significance in the pre-vention and treatment of senile cerebral infarction.