本文選題：卒中　切入點：超聲檢查　出處：《中國介入影像與治療學》2017年12期

【摘要】：目的觀察急性缺血性卒中患者的頸動脈斑塊分布、管腔狹窄程度及不穩(wěn)定斑塊的危險因素。方法經(jīng)頭顱MRI證實的急性缺血性卒中患者909例為AIS組,選取同期非腦卒中住院患者885例為對照組,比較2組頸動脈斑塊的分布及管腔狹窄程度。根據(jù)狹窄程度將AIS組分為狹窄率≥50%亞組及50%亞組,比較2亞組穩(wěn)定性斑塊與不穩(wěn)定性斑塊的檢出率。比較AIS組不穩(wěn)定斑塊和非不穩(wěn)定斑塊患者的臨床資料,以有統(tǒng)計學意義的指標為自變量,行多因素Logistic回歸分析。結(jié)果 AIS組頸動脈多發(fā)斑塊和不穩(wěn)定斑塊的檢出率及管腔狹窄程度均顯著高于對照組(P均0.001)。頸動脈狹窄率≥50%亞組的不穩(wěn)定斑塊檢出率顯著高于狹窄率50%亞組(P0.001)。單因素分析顯示年齡、男性、糖尿病、血脂異常、吸煙及飲酒是AIS頸動脈不穩(wěn)定斑塊的危險因素(P均0.05);多因素分析顯示年齡、糖尿病、血脂異常及吸煙是AIS頸動脈不穩(wěn)定性斑塊的獨立危險因素(P均0.05)。結(jié)論頸動脈不穩(wěn)定斑塊、狹窄程度與AIS發(fā)生密切相關(guān);年齡、糖尿病、血脂異常和吸煙是頸動脈不穩(wěn)定斑塊的獨立危險因素。
[Abstract]:Objective to observe the distribution of carotid plaque, the degree of lumen stenosis and the risk factors of unstable plaque in patients with acute ischemic stroke. Methods 909 patients with acute ischemic stroke confirmed by cranial MRI were divided into AIS group. The distribution of carotid plaque and the degree of stenosis of carotid artery were compared between the two groups. According to the degree of stenosis, the AIS group was divided into two groups: the stenosis rate 鈮，

本文編號：1677337