医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
15期
71-72
,共2页
老年急性脑梗死%氧化低密度脂蛋白%颈动脉粥样硬化斑块
老年急性腦梗死%氧化低密度脂蛋白%頸動脈粥樣硬化斑塊
노년급성뇌경사%양화저밀도지단백%경동맥죽양경화반괴
Elderly patients with acute cerebral infarction%Oxidized low-density lipoprotein%Carotid atherosclerotic plaques
目的：探讨老年急性脑梗死患者血浆内的氧化低密度脂蛋白与颈动脉粥样硬化斑块的关系。方法：选取我院2012年1月～2013年3月收治的急性脑梗死老年患者65例，依照颈动脉超声的结果将患者分为两组，对照组9例患者均未发现粥样硬化斑块，观察组56例患者存在斑块，再依据患者情况分为观察A组42例(不稳定斑块)与观察B组14例(稳定斑块)，对所有患者的氧化低密度脂蛋白情况进行检测，并开展比较与分析。结果：通过检验得出结果，存在颈动脉斑块的观察组的氧化低密度脂蛋白显著高于未见颈动脉斑块的对照组，组间差异明显具有统计学意义( P<0.05)；不稳定斑块的观察A组的氧化低密度脂蛋白显著高于稳定斑块的观察B组，组间差异显著具有统计学意义( P<0.05)。结论：老年急性脑梗死患者的氧化低密度脂蛋白与颈动脉粥样硬化斑块具有密切的联系，前者可明确的判断后者的稳定程度，是临床诊断老年患者发病的有效手段。
目的：探討老年急性腦梗死患者血漿內的氧化低密度脂蛋白與頸動脈粥樣硬化斑塊的關繫。方法：選取我院2012年1月～2013年3月收治的急性腦梗死老年患者65例，依照頸動脈超聲的結果將患者分為兩組，對照組9例患者均未髮現粥樣硬化斑塊，觀察組56例患者存在斑塊，再依據患者情況分為觀察A組42例(不穩定斑塊)與觀察B組14例(穩定斑塊)，對所有患者的氧化低密度脂蛋白情況進行檢測，併開展比較與分析。結果：通過檢驗得齣結果，存在頸動脈斑塊的觀察組的氧化低密度脂蛋白顯著高于未見頸動脈斑塊的對照組，組間差異明顯具有統計學意義( P<0.05)；不穩定斑塊的觀察A組的氧化低密度脂蛋白顯著高于穩定斑塊的觀察B組，組間差異顯著具有統計學意義( P<0.05)。結論：老年急性腦梗死患者的氧化低密度脂蛋白與頸動脈粥樣硬化斑塊具有密切的聯繫，前者可明確的判斷後者的穩定程度，是臨床診斷老年患者髮病的有效手段。
목적：탐토노년급성뇌경사환자혈장내적양화저밀도지단백여경동맥죽양경화반괴적관계。방법：선취아원2012년1월～2013년3월수치적급성뇌경사노년환자65례，의조경동맥초성적결과장환자분위량조，대조조9례환자균미발현죽양경화반괴，관찰조56례환자존재반괴，재의거환자정황분위관찰A조42례(불은정반괴)여관찰B조14례(은정반괴)，대소유환자적양화저밀도지단백정황진행검측，병개전비교여분석。결과：통과검험득출결과，존재경동맥반괴적관찰조적양화저밀도지단백현저고우미견경동맥반괴적대조조，조간차이명현구유통계학의의( P<0.05)；불은정반괴적관찰A조적양화저밀도지단백현저고우은정반괴적관찰B조，조간차이현저구유통계학의의( P<0.05)。결론：노년급성뇌경사환자적양화저밀도지단백여경동맥죽양경화반괴구유밀절적련계，전자가명학적판단후자적은정정도，시림상진단노년환자발병적유효수단。
Objective:To study the relationship between plasma oxidized low density lipoproteinand carotid atherosclerotic plaque in elderly patients with acute cerebral infarction. Methods:Our hospital in January 2012 ~ March 2013 were treated 65 cases of elderly patients with acute cerebral infarction. According to the results of carotid ultrasound patients were divided into two groups. Nine patients in the control group were not found in atherosclerotic plaques, the presence of plaque in the observation group 56 patients. And then based on observation of patients were divided into observation group A, 42 patients (unstable plaque) and the observation group B 14 patients (stable plaques). Detection of oxidized LDL in patients of al ,and conduct comparison and analysis. Result:The results obtained by testing is the presence of carotid plaque oxidized LDL was significantly higher than no carotid artery plaque, unstable plaque oxidized LDL was significantly higher than stable plaque, Significantly between the two groups was statistical y significant difference (P <0.05). Conclusion: Elderly patients with acute cerebral infarction oxidized LDL and carotid atherosclerotic plaques with close relationship.The former can be clearly judge of the stability of the latter, elderly patients with clinical diagnosis of onset is an effective means.
