论文部分内容阅读
目的 :观察脑梗死患者颈动脉斑块稳定性,分析其相关因素。方法 :选择2015年2月~2016年2月105例脑梗死患者为研究对象,均经颈部动脉超声检查,分析和比较稳定性斑块及不稳定性斑块患者临床资料的差异,包括性别、年龄、高血压、高血压、空腹血糖、甘油三酯(TG)、胆固醇(TC)、超敏C反应蛋白(hs-CRP)、低密度脂蛋白(LDL-C)。结果 :105例患者中,不稳定性斑块数量多于稳定性斑块,其中混合性斑块比例最高,为31.4%,扁平班比例最低,为17.1%。不稳定性斑块患者吸烟、高血压、糖尿病的比例均显著高于稳定性斑块患者,其空腹血糖、TG、TC、hs-CRP及LDL-C水平均显著高于稳定性斑块患者,差异具有统计学意义。多因素Logistics多因素分析显示吸烟、高血压、糖尿病、hs-CRP是影响脑梗死患者颈动脉斑块稳定性的危险因素。结论 :脑梗死患者颈动脉不稳定斑块比例更高,吸烟、高血压、糖尿病、hs-CRP是其危险因素
Objective: To observe the stability of carotid plaque in patients with cerebral infarction and to analyze the related factors. Methods: From February 2015 to February 2016, 105 patients with cerebral infarction were selected as subjects. All patients underwent ultrasound examination of the neck artery to analyze and compare the clinical data of patients with stable and unstable plaques, including gender Age, hypertension, hypertension, fasting blood glucose, triglyceride (TG), cholesterol (TC), hs-CRP and LDL-C. Results: Among the 105 patients, the number of unstable plaque was more than that of the stable plaque. The highest plaque percentage was 31.4% and the lowest flat plaque was 17.1%. The levels of smoking, hypertension and diabetes in patients with unstable plaque were significantly higher than those in patients with stable plaque. The levels of fasting blood glucose, TG, TC, hs-CRP and LDL-C in patients with unstable plaque were significantly higher than those in patients with stable plaque, The difference was statistically significant. Multivariate logistic multivariate analysis showed that smoking, hypertension, diabetes and hs-CRP were the risk factors of carotid plaque stability in patients with cerebral infarction. Conclusion: The proportion of unstable carotid plaques in patients with cerebral infarction is higher, smoking, hypertension, diabetes and hs-CRP are the risk factors