CAJ | 학술논문

目的：：通过应用高频超声对患者颈动脉粥样硬化斑块进行检查，研究颈动脉硬化与脑梗死患者发病的相关性。方法：选取56例脑梗死患者作为观察组，进行颈动脉超声检查，观察患者颈动脉内中膜，将硬化斑块分为软斑、硬斑及混合性斑块。随机抽取43例年龄相仿的体检者作为对照组，分析斑块与脑梗死的关系。结果：56例脑梗死患者中检出硬化斑块43例(76.78%)，对照组体检者检出7例(16.27)，观察组患者的颈动脉斑块检出率明显高于对照组，差异有统计学意义(P<0.05)。结论：颈动脉硬化斑块是患者脑梗死的病因及危险因素，高频超声能早期发现患者颈动脉粥样硬化斑块，判断斑块性质及稳定性，从而对指导患者临床用药、评估预后及早期预防脑梗死提供重要参考依据。
목적：：통과응용고빈초성대환자경동맥죽양경화반괴진행검사，연구경동맥경화여뇌경사환자발병적상관성。방법：선취56례뇌경사환자작위관찰조，진행경동맥초성검사，관찰환자경동맥내중막，장경화반괴분위연반、경반급혼합성반괴。수궤추취43례년령상방적체검자작위대조조，분석반괴여뇌경사적관계。결과：56례뇌경사환자중검출경화반괴43례(76.78%)，대조조체검자검출7례(16.27)，관찰조환자적경동맥반괴검출솔명현고우대조조，차이유통계학의의(P<0.05)。결론：경동맥경화반괴시환자뇌경사적병인급위험인소，고빈초성능조기발현환자경동맥죽양경화반괴，판단반괴성질급은정성，종이대지도환자림상용약、평고예후급조기예방뇌경사제공중요삼고의거。
Objective: Through the application of high frequency ultrasound to examine carotid atherosclerosis plaque, to study relationship between carotid atherosclerosis and incidence rate of cerebral infarction. Methods: 56 cases with cerebral infarction were selected as observation group, and had undergone carotid ultrasound to observe the carotid artery intima media. The plaques were di-vided into soft plaque, hard plaque, and mixed plaque. A random sample of 43 age-matched healthy patients were chosen as control group. The analysis of the relationship between plaque and cerebral infarction was performed. Results: The detection rate of carotid plaque in observation group was significantly higher than that in control group, i. e. 43 / 56 (76. 78% ) of observation group vs. 7 / 43 (16. 27% ) of control group; and the difference was statistically significant (P<0. 05). Conclusions: Carotid atherosclerosis plaque is the etiology and a risk factor of cerebral infarction. The high frequency ultrasound can early detection of carotid atherosclerosis plaque and determine the nature and stability of the plaque, thus providing an important reference basis for evaluating prognosis, early preven-tion of cerebral infarction, and guiding the clinical medication.