CAJ | 학술논문

目的：探讨高血压颈动脉斑块与缺血性脑卒中患病率之间的相关性。方法入选原发性高血压患者120例，以是否伴有缺血性脑卒中分为两组，伴缺血性脑卒中者75例，单纯高血压组45例，彩色多普勒超声检查两组患者的颈动脉斑块的数量、部位、大小和颈总动脉内中膜厚度。结果缺血性脑卒中组与单纯高血压组比较，颈动脉斑块的发生率明显增加（74.67% vs 53.33%，P<0.05），不稳定斑块的比例较高（66.67%vs 31.11%，P<0.05），斑块的部位、大小及颈总动脉内中膜厚度两组无差异（P>0.05），多因素回归分析显示，年龄、糖尿病是颈动脉斑块形成的独立危险因素，颈动脉斑块可增加高血压患者缺血性脑卒中的风险。结论颈动脉斑块与高血压缺血性脑卒中的发生密切相关，是缺血性脑卒中的独立危险因素。
목적：탐토고혈압경동맥반괴여결혈성뇌졸중환병솔지간적상관성。방법입선원발성고혈압환자120례，이시부반유결혈성뇌졸중분위량조，반결혈성뇌졸중자75례，단순고혈압조45례，채색다보륵초성검사량조환자적경동맥반괴적수량、부위、대소화경총동맥내중막후도。결과결혈성뇌졸중조여단순고혈압조비교，경동맥반괴적발생솔명현증가（74.67% vs 53.33%，P<0.05），불은정반괴적비례교고（66.67%vs 31.11%，P<0.05），반괴적부위、대소급경총동맥내중막후도량조무차이（P>0.05），다인소회귀분석현시，년령、당뇨병시경동맥반괴형성적독립위험인소，경동맥반괴가증가고혈압환자결혈성뇌졸중적풍험。결론경동맥반괴여고혈압결혈성뇌졸중적발생밀절상관，시결혈성뇌졸중적독립위험인소。
Objective To investigate the hypertension carotid plaque and ischemic stroke prevalence correlation between the rate of. Methods A total of 120 patients with essential hypertension,as to whether or not associated with ischemic stroke were divided into two groups,color Doppler ultrasound of carotid artery plaque number,two groups of patients the position,size and carotid artery intima media thickness. Results The ischemic stroke group compared with the simple hypertension group,apparent increased incidence of carotid artery plaque,plaque size and a higher proportion of total artery,carotid intima media thickness plaque site,no significant difference between two groups (P > 0.05). Conclusion Carotid plaque and hypertensive ischemic stroke is closely related to the occurrence,is an independent risk factor for ischemic stroke.