CAJ | 학술논문

目的探讨双侧颈动脉粥样斑块的性质与前循环脑梗死之间的关系.方法选取本院2010年12月至2013年12月收治的前循环脑梗死624例,应用颈动脉斑块的Crouse、斑块指数以及内-中膜(IMT)评价双侧颈动脉粥样硬化及斑块病变程度,同时应用美国国立卫生院卒中量表(NIHSS)进行神经功能缺损评分.结果和非责任病灶侧相比,责任病灶侧颈动脉斑块Crouse评分降低、IMT增高(P＜0.05);责任病灶侧颈动脉斑块Crouse评分越低,NIHSS评分越高,两者呈负相关(r=-0.546,P=0.004);IMT评分越高,NIHSS评分越高,两者呈正相关(r=0.672,P=0.003).结论前循环脑梗死与病灶侧颈动脉硬化合并斑块形成的程度,更与斑块性质有关,责任病灶侧颈动脉斑块的Crouse评分、IMT对于预测前循环脑梗死预后有一定意义.
목적 탐토쌍측경동맥죽양반괴적성질여전순배뇌경사지간적관계.방법 선취본원2010년12월지2013년12월수치적전순배뇌경사624례,응용경동맥반괴적Crouse、반괴지수이급내-중막(IMT)평개쌍측경동맥죽양경화급반괴병변정도,동시응용미국국립위생원졸중량표(NIHSS)진행신경공능결손평분.결과 화비책임병조측상비,책임병조측경동맥반괴Crouse평분강저、IMT증고(P＜0.05);책임병조측경동맥반괴Crouse평분월저,NIHSS평분월고,량자정부상관(r=-0.546,P=0.004);IMT평분월고,NIHSS평분월고,량자정정상관(r=0.672,P=0.003).결론 전순배뇌경사여병조측경동맥경화합병반괴형성적정도,경여반괴성질유관,책임병조측경동맥반괴적Crouse평분、IMT대우예측전순배뇌경사예후유일정의의.
Objective To investigate the relationship between the clinical onset of cerebral infarction in anterior cycle and properties of carotid atheromatous plaque.Methods A retrospective analysis was carried out on clinical data of 624 cases of cerebral infarction in anterior cycle from December 2010 to December 2013 in our hospital.The carotid artery plaque Crouse score,index,and intima-media thickness (IMT) were used to evaluate carotid atherosclerosis and plaque lesions.The National Institute of Health stroke scale (NIHSS) questionnaire was used to evaluate neural function defect.Results Compared to the non-lesion side,the lesion side carotid artery plaque Crouse score was decreased and IMT was increased (P ＜ 0.05) ; the lesion carotid artery plaque Crouse was lower,the higher NIHSS scores (r =-0.546,P =0.004) ; IMT score was higher,higher NIHSS score; carotid artery atheromatous plaque Crouse was negatively related to NIHSS score; IMT score was positively related to NIHSS score (r =0.672,P =0.003).Conclusions The clinical onset of cerebral infarction in anterior cycle was correlated with the carotid sclerosis degree.The Crouse score and IMT of the lesion have certain significance in predicting prognosis of cerebral infarction in anterior cycle.