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目的:观察脑梗死患者颈动脉硬化斑块的超声表现与血瘀证的关系。方法:选择60例脑梗死患者为脑梗死组,选择同期正常就诊者60例为对照组,对所有患者进行中医证候要素评分,比较2组的血瘀证发生率。根据中医证候将所有患者分为血瘀证组与非血瘀证组,均接受颈动脉彩色多普勒超声检测,比较2组颈动脉硬化斑块的发生率,同时分析颈动脉硬化斑块与血瘀证的相关性。结果:脑梗死组血瘀证的发病率高于对照组,差异有统计学意义(P<0.01);血瘀证组颈动脉硬化斑块发生率高于非血瘀证组,差异有统计学意义(P<0.01);血瘀证与颈动脉硬化斑块有无、数目、最大斑块大小及形态呈正相关(P<0.05,P<0.01),与斑块性质无关(P>0.05)。结论:脑梗死患者好发血瘀证,但血瘀证的发生不仅仅与脑梗死相关,更与颈动脉硬化斑块的有无、大小、数量、形态等密切相关。
Objective: To observe the relationship between ultrasound manifestations of carotid plaque and blood stasis syndrome in patients with cerebral infarction. Methods: Sixty patients with cerebral infarction were selected as the cerebral infarction group. Sixty normal controls were selected as the control group. All the patients were scored by TCM syndrome factors, and the incidence of blood stasis syndrome was compared between the two groups. According to TCM syndromes, all patients were divided into blood stasis syndrome group and non-blood stasis syndrome group, all underwent carotid color Doppler ultrasound examination. The incidence of carotid atherosclerosis plaque was compared between the two groups. At the same time, Correlation with blood stasis syndrome. Results: The incidence of blood stasis syndrome was higher in cerebral infarction group than in control group (P <0.01), and the incidence of carotid plaque in blood stasis syndrome group was higher than that in non-blood stasis syndrome group (P <0.01). There was a positive correlation between blood stasis syndrome and the presence or absence of carotid atherosclerotic plaques, the number and the size of the largest plaque (P <0.05, P <0.01). Conclusion: Patients with cerebral infarction are prone to develop blood stasis syndrome. However, the occurrence of blood stasis syndrome is not only related to cerebral infarction but also closely related to the presence, size, quantity and morphology of carotid plaque.