CAJ | 학술논문

目的：探讨高血压患者颈动脉斑块和急性缺血性脑卒中的相关性，以减少其发生率。方法对2013‐06—2014‐06收治入院的177例高血压患者的临床资料进行回顾性分析，其中发生急性缺血性脑卒中的81例为观察组，未发生急性缺血性脑卒中的96例为对照组，分析2组患者颈动脉斑块类型及发生率，采用Logistic逐步回归分析，分析颈动脉斑块的发生与急性缺血性脑卒中的相关性。结果2组患者颈动脉斑块发生率分别为76.54％和43.75％，观察组高于对照组，差异有统计学意义（P＜0.05）；多因素回归分析表明，颈动脉斑块的发生增加急性缺血性脑卒中风险（OR＝5.867，P＝0.001）。结论合并急性缺血性脑卒中的高血压患者发生颈动脉斑块的几率高于未发生急性缺血性脑卒中的高血压患者，颈动脉斑块形成是高血压患者发生急性缺血性脑卒中的独立危险因素。
목적：탐토고혈압환자경동맥반괴화급성결혈성뇌졸중적상관성，이감소기발생솔。방법대2013‐06—2014‐06수치입원적177례고혈압환자적림상자료진행회고성분석，기중발생급성결혈성뇌졸중적81례위관찰조，미발생급성결혈성뇌졸중적96례위대조조，분석2조환자경동맥반괴류형급발생솔，채용Logistic축보회귀분석，분석경동맥반괴적발생여급성결혈성뇌졸중적상관성。결과2조환자경동맥반괴발생솔분별위76.54％화43.75％，관찰조고우대조조，차이유통계학의의（P＜0.05）；다인소회귀분석표명，경동맥반괴적발생증가급성결혈성뇌졸중풍험（OR＝5.867，P＝0.001）。결론합병급성결혈성뇌졸중적고혈압환자발생경동맥반괴적궤솔고우미발생급성결혈성뇌졸중적고혈압환자，경동맥반괴형성시고혈압환자발생급성결혈성뇌졸중적독립위험인소。
Objective To explore carotid plaques and acute ischemic stroke in patients with hypertension in order to reduce incidence.Methods The clinical data of 117 cases with hypertension from June 2013 to June 2014 were retrospectively ana‐lyzed ,among which 81 cases with acute ischemic stroke were considered as the observation group and 96 cases with non -stroke as control group. We analyzed the type and incidence of carotid plaques ,and then analyzed correlation between carotid plaque and acute ischemic stroke by Logistic regression analysis. Results The incidence of carotid artery plaque of two groups were 76.54% and 43.75% ,the study group had higher rate and the difference was statistically significant (P<0.05);Multi‐variate regression analysis showed that carotid artery plaque could increase risk of acute ischemic stroke (OR= 5.867 , P=0.001). Conclusion The incidence in hypertension patients with acute ischemic stroke is higher than that in non-stroke patients , and the carotid plaque is an independent risk factor of acute ischemic stroke in hypertension patients.