CAJ | 학술논문

目的：探讨颈动脉超声检查在脑梗死患者中的应用价值。方法对144例脑梗死患者和106名健康查体者进行颈动脉超声检查，观察颈动脉内中膜厚度、斑块发生情况及血管狭窄情况。结果脑梗死组较对照组内中膜明显增厚，斑块检出率明显增高。脑梗死组与对照组检出斑块中均以强回声斑块最为多见。脑梗死组与对照组在血管狭窄程度上差异有统计学意义（P＜0.01）。结论动脉粥样硬化是脑梗死发生的主要危险因素之一。颈动脉超声检查可以观察和了解颈动脉粥样硬化的病变及其程度，提示脑血管病变是否处于高危状态，对脑梗死患者的预防和治疗有重要的实用价值。
목적：탐토경동맥초성검사재뇌경사환자중적응용개치。방법대144례뇌경사환자화106명건강사체자진행경동맥초성검사，관찰경동맥내중막후도、반괴발생정황급혈관협착정황。결과뇌경사조교대조조내중막명현증후，반괴검출솔명현증고。뇌경사조여대조조검출반괴중균이강회성반괴최위다견。뇌경사조여대조조재혈관협착정도상차이유통계학의의（P＜0.01）。결론동맥죽양경화시뇌경사발생적주요위험인소지일。경동맥초성검사가이관찰화료해경동맥죽양경화적병변급기정도，제시뇌혈관병변시부처우고위상태，대뇌경사환자적예방화치료유중요적실용개치。
Objective To study the application of carotid artery ultrasonography in patients with cerebral infarction. Methods 144 patients with cerebral infarction and 106 normal people were examined by carotid artery ultrasonography to observe the intima-media thickness (IMT), plaque and artery stenosis. Results IMT and the occurrence rate of plaque were significantly higher in cerebral infarction group than those in control group. Most of the plaques in two groups were strong echoes. There was statistical significance in the degree of artery stenosis between two groups (P<0.01). Conclusion Atherosclerosis is one of the most risk factors of cerebral infarction. Carotid artery ultrasonography can be diagnostic of the degree of carotid atherosclerosis, and cues whether the patients with cerebral infarction are in high risk, so it plays an important role in the prevention and treatment of patients with cerebral infarction.