颈动脉粥样硬化和血脂水平与脑梗塞的有关分析

禹萌1，耿晓林2

1.郑州市人民医院神经内科，河南郑州450000；2.新乡医学院第一附属医院神经内科，河南新乡453100

[摘要]目的分析颈动脉粥样硬化和血脂水平与脑梗塞的关系。方法整群选取2012年8月—2013年10月于该院神经内科治疗的130例患者，74例脑梗塞患者定为观察组，56例非脑梗塞患者定为对照组，对其进行颈动脉超声检查和血脂水平检测，对两组患者的检测结果进行分析对比。结果观察组检出率为77.03%，对照组为26.79%，观察组颈动脉粥样硬化斑块检出率明显高于对照组（P＜0.05），观察组左右颈总动脉内径明显低于对照组（P＜0.05），观察组甘油三酯明显高于对照组（P＜0.05）。结论颈动脉粥样硬化与脑梗塞具有密切关系，颈动脉粥样硬化斑块形成与部分脂肪代谢异常有关，血脂水平测定和颈动脉超声检查对脑梗塞预测具有重要指导意义。

[关键词]颈动脉粥样硬化；血脂水平；脑梗塞

[中图分类号]R7

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0009-02

[作者简介]禹萌(1979.11-)，女，河南平顶山人，硕士，主治医师，研究方向：脑血管病方向。

Abstract[]Objective To study the relationship of carotid atherosclerosis and serum lipid levels with cerebral infarction.Methods 130 patients treated in Department of Neurology of our hospital from 2012 August to 2013 October were selected.74 cases of them with cerebral infarction were regarded as the observation group and the other 56 cases without cerebral infarction were regarded as the control group.All of them received carotid ultrasound examination and detection of serum lipid levels.The examination results were compared and analyzed between the two groups.Results The detection rate of carotid atherosclerosis plaque was 77.03% in the observation group and 26.79% in the control group, and the former was significantly higher than the latter (P<0.05).The left and right common carotid artery diameter was obviously shorter, while the level of triglyceride was significantly higher in the observation group than that in the control group, respectively (both P<0.05).Conclusion Carotid atherosclerosis is closely associated with cerebral infarction.And the formation of carotid atherosclerotic plaque is related to the partial fat metabolism abnormality.Determination of blood lipid level and carotid artery ultrasonography have important guiding significance for the prediction of cerebral infarction.

收稿日期：（2015-07-02）

Analysis of Carotid Atherosclerosis and Serum Lipid Levels with Cerebral Infarction

YU Meng1, GENG Xiao-lin2

1.Department of Neurology, People's Hospital of Zhengzhou, Zhengzhou, Henan Province, 450000 China;2.Department of Neurology, The First Affiliated Hospital of Xinxiang Medical University, Henan Province, 453100 China

[Key words]Carotid atherosclerosis; Blood lipid level; Cerebral infarction

近年来，我国脑梗死患者不断增加，其发病率呈逐年上升趋势，脑梗塞在发病之后病情通常较为凶险，且预后较差。有报道显示[1]，与代谢正常者相较代谢异常的患者的脑梗塞发生率较高，因此，临床治疗中须对患者脑梗死危险因素进行明确以开展具有针对性的防治措施和治疗手段。故该研究整群选取2012年8月—2013年10月于该院神经内科治疗的130例患者，对颈动脉粥样硬化和血脂水平与脑梗塞的关系进行了分析讨论，现报道如下。……