CAJ | 학술논문

目的：探讨颈动脉狭窄及脑卒中高危人群中应用颈动脉超声的临床价值。方法选取2013‐03—2013‐09我院神经内科接收脑卒中康复治疗140例患者的资料进行分析，运用颈部血管超声检测颈动脉内中膜厚度（IM T ）及斑块等。结果140例脑卒中高危人群中，超声检出颈动脉狭窄率75.1％，其中男性颈动脉内膜增厚占70.4％，颈动脉斑块阳性占80.3％；女性颈动脉增厚占59.4％，颈动脉斑块阳性占78.3％。颈动脉狭窄患者糖尿病、高血压、吸烟、饮酒及血脂程度高于正常患者。经Pearson相关分析发现颈动脉狭窄与脑卒中危险因素相关。结论颈动脉狭窄是脑血管病发病的危险因素，超声是探查颈动脉狭窄的有效手段。
목적：탐토경동맥협착급뇌졸중고위인군중응용경동맥초성적림상개치。방법선취2013‐03—2013‐09아원신경내과접수뇌졸중강복치료140례환자적자료진행분석，운용경부혈관초성검측경동맥내중막후도（IM T ）급반괴등。결과140례뇌졸중고위인군중，초성검출경동맥협착솔75.1％，기중남성경동맥내막증후점70.4％，경동맥반괴양성점80.3％；녀성경동맥증후점59.4％，경동맥반괴양성점78.3％。경동맥협착환자당뇨병、고혈압、흡연、음주급혈지정도고우정상환자。경Pearson상관분석발현경동맥협착여뇌졸중위험인소상관。결론경동맥협착시뇌혈관병발병적위험인소，초성시탐사경동맥협착적유효수단。
Objective To investigate the clinical application of carotid artery ultrasound on patients with carotid artery ste‐nosis and stroke.Methods The clinical data of 140 patients with stroke in our hospital from March to June 2013 were analyzed , and then intima‐media thickness (IMT) and atherosclerotic plaque were tested by carotid artery ultrasound.Results The carot‐id artery stenosis rate of 140 patients with stroke was 75.1%. The carotid artery intima thickening and carotid plaque positive rate were 70.4% and 80.3% in men and 59.4% and 78.3% in women. The carotid artery stenosis rate of patients with diabe‐ tes ,hypertension ,smoking ,drinking ,and hyperlipidemia was higher than that of patients with single carotid artery stenosis.Pearson correlation analysis showed that carotid artery stenosis was a risk factor of patients with stroke.Conclusion Carotid artery stenosis is a risk factor of patients with stroke and ultrasound is an effective method to examine carotid artery stenosis.