CAJ | 학술논문

目的：探讨颈动脉粥样硬化与老年性头痛的相关性。方法选择2012年3月至2013年2月于重庆市垫江县中医院就诊的颈动脉粥样硬化老年患者90例纳入试验组，并根据病变血管部位将其分为颈总动脉组（45例）和颈内动脉实验组（45例）。以45例无颈动脉粥样病变的体检健康老年人作为对照组。对血流动力学指标及头痛发生率进行组间比较。结果试验组与对照组动脉管径、血流量、最大血流速度、平均血流速度、阻力指数比较差异均有统计学意义（ P＜0．05）。颈总动脉组、颈内动脉组和对照组头痛发生率分别为82．22％、91．11％和42．22％，颈总动脉组、颈内动脉组头痛发生率均高于对照组（ P＜0．05），但颈总动脉组、颈内动脉组头痛发生率比较差异无统计学意义（P＞0．05）。结论颈动脉粥样硬化可导致动脉血流动力学改变，与老年性头痛密切相关。
목적：탐토경동맥죽양경화여노년성두통적상관성。방법선택2012년3월지2013년2월우중경시점강현중의원취진적경동맥죽양경화노년환자90례납입시험조，병근거병변혈관부위장기분위경총동맥조（45례）화경내동맥실험조（45례）。이45례무경동맥죽양병변적체검건강노년인작위대조조。대혈류동역학지표급두통발생솔진행조간비교。결과시험조여대조조동맥관경、혈류량、최대혈류속도、평균혈류속도、조력지수비교차이균유통계학의의（ P＜0．05）。경총동맥조、경내동맥조화대조조두통발생솔분별위82．22％、91．11％화42．22％，경총동맥조、경내동맥조두통발생솔균고우대조조（ P＜0．05），단경총동맥조、경내동맥조두통발생솔비교차이무통계학의의（P＞0．05）。결론경동맥죽양경화가도치동맥혈류동역학개변，여노년성두통밀절상관。
Objective To explore the correlation between carotid artery atherosclerosis and senile headache . Methods During Mar .2012 and Feb .2013 ,90 old patients with carotid artery atherosclerosis were enrolled as exper-iment group ,and were divided into cervical artery group (45 cases) and carotid group (45 cases) .A total of 45 healthy old subjects without carotid artery atherosclerosis were enrolled as control group .Hemodynamic indicators and incidence rate of headache were compared .Results Hemodynamic indicators ,including diameter ,blood flow , maximum blood flow velocity ,mean velocity and resistance index ,were with statistical differences between experi-ment group and control group (P<0 .05) .Incidence rates of headache were 82 .22% ,91 .11% and 42 .22% in cervical artery group ,carotid group and control group respectively .Incidence rates of headache of cervical artery group and ca-rotid group were higher than control group (P<0 .05) ,but those of cervical artery group and carotid group were without statistical difference (P>0 .05) .Conclusion Carotid artery atherosclerosis could cause hemodynamic chan-ges ,which might be correlated with senile headache .