中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
2期
28-29,30
,共3页
缺血性脑卒中%颈动脉%动脉粥样硬化
缺血性腦卒中%頸動脈%動脈粥樣硬化
결혈성뇌졸중%경동맥%동맥죽양경화
Cerebral arterial thrombosis%Carotid artery%Atherosclerosis
目的：：应用超声技术检测缺血脑卒中患者与颈动脉粥样硬化病变的特点及联系，并对好发部位及狭窄程度性质作一分析。方法：应用二维和多普勒血管技术，对50例脑卒中患者，颈动脉内膜—中膜厚度( IMT)、斑块面积及血流量检测；50例脑卒中患者，合并高血压29例、高血脂15例(6例同时有高血压及高血脂)，糖尿病12例。结果：二维超声及多普勒检测结果显示：缺血脑卒中患者，年龄越大、血压越高、血脂越高、血糖越高、病程越长，颈动脉粥样硬化程度越高，狭窄越重。患者血管性病变年龄均在40岁以上。斑块发生部位颈动脉分叉处占整个病例的72%，其他部分占28%。结论：颈动脉超声对脑卒中的预测有非常重要价值和关联，从而为研究动脉粥样硬化的发生和发展，以及采取相应的预防和治疗措施提供了直接的影像学资料。
目的：：應用超聲技術檢測缺血腦卒中患者與頸動脈粥樣硬化病變的特點及聯繫，併對好髮部位及狹窄程度性質作一分析。方法：應用二維和多普勒血管技術，對50例腦卒中患者，頸動脈內膜—中膜厚度( IMT)、斑塊麵積及血流量檢測；50例腦卒中患者，閤併高血壓29例、高血脂15例(6例同時有高血壓及高血脂)，糖尿病12例。結果：二維超聲及多普勒檢測結果顯示：缺血腦卒中患者，年齡越大、血壓越高、血脂越高、血糖越高、病程越長，頸動脈粥樣硬化程度越高，狹窄越重。患者血管性病變年齡均在40歲以上。斑塊髮生部位頸動脈分扠處佔整箇病例的72%，其他部分佔28%。結論：頸動脈超聲對腦卒中的預測有非常重要價值和關聯，從而為研究動脈粥樣硬化的髮生和髮展，以及採取相應的預防和治療措施提供瞭直接的影像學資料。
목적：：응용초성기술검측결혈뇌졸중환자여경동맥죽양경화병변적특점급련계，병대호발부위급협착정도성질작일분석。방법：응용이유화다보륵혈관기술，대50례뇌졸중환자，경동맥내막—중막후도( IMT)、반괴면적급혈류량검측；50례뇌졸중환자，합병고혈압29례、고혈지15례(6례동시유고혈압급고혈지)，당뇨병12례。결과：이유초성급다보륵검측결과현시：결혈뇌졸중환자，년령월대、혈압월고、혈지월고、혈당월고、병정월장，경동맥죽양경화정도월고，협착월중。환자혈관성병변년령균재40세이상。반괴발생부위경동맥분차처점정개병례적72%，기타부분점28%。결론：경동맥초성대뇌졸중적예측유비상중요개치화관련，종이위연구동맥죽양경화적발생화발전，이급채취상응적예방화치료조시제공료직접적영상학자료。
Objective:To apply the ultrasonic technique to detecting the characteristics as well as the connection between the ischemic stroke patients and the carotid artery atherosclerosis, and to analyze the predilection site along with the nature of the degree of stenosis. Methods:Applying the two-dimensional and Doppler vascular technology to detecting carotid artery intima - media thickness ( IMT) , plaque area and blood flow volume of 50 patients. In these 50 cases, 29 patients with hypertension, 15 cases with high lipids ( 6 cases with both hypertension and hyperlipidemia) and 12 cases with diabetes were merged. Results:The two - dimensional ultrasound and Doppler detection showed that the ischemic stroke patients, who were older, with higher blood pressure, blood fat, blood sugar and longer duration, would suffer from higher degree of carotid atherosclerosis along with more severe stenosis. Patients with vascular lesions were aged above 40 years old. Plaque located at the carotid bifurcation area accounted for 72% , and other parts for 28%. Conclusion:Carotid ultrasound should be of great value to the prediction of stroke that also have a strong connection with the former, which provides direct ima-ging data to study the occurrence and development of atherosclerosis and to take the relevant preventive and treatment measures.
