头颈部CTA联合颈部血管超声检查粥样斑块与脑梗死或TIA发生的相关性分析(1)
[摘要] 目的 分析頭颈部CTA联合颈部血管超声检查粥样斑块与脑梗死或TIA发生的修改。 方法 2018年4月—2019年3月该次研究对象方便择取该院收治的66例粥样斑块患者，以此作为观察组，选择同一时间段进入医院进行健康体检的人群中筛查出有颈动脉粥样斑块的人员66名，以此作为对照组，两组均实施头颈部CTA联合颈部血管超声检查，对两组的各项检查数据进行对比，同时分析与其与脑梗死或TIA发生的相关性。 结果 观察组患者检出率为96.97%，对照组检出率为93.94%，观察组与对照组整体的检出率均较为理想，差异无统计学意义(χ2=0.968，P>0.05);观察组颈动脉内径各指标显著低于对照组，两组对比后发现引起脑梗死发病率较高的是双侧斑块，差异有统计学意义(P<0.05)。 结论 粥样斑块与脑梗死存在较为密切的关系，研究表明粥样斑块在出现后人体出现短暂性脑缺血发作(TIA)的概率显著提升，脑梗死的发生率也较高，因此一旦在检查中发现粥样斑块，需要及早进行干预治疗，及时对疾病进行控制，防止病情发展对患者造成更加严重的影响。
[关键词] 头颈部CTA;颈部血管超声;粥样斑块;脑梗死;TIA
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742(2020)04(c)-0046-03
Correlation Analysis of Atherosclerotic Plaque and Cerebral Infarction or TIA in Head and Neck CTA Combined with Neck Vascular Ultrasound
GU Da-jun， YUAN Ji-hong， ZHENG Hua-song， LI Jin-zhao， LIU Fei
Department of Neurology， Jiangjin District Traditional Chinese Medicine Hospital， Chongqing， 402260 China
[Abstract] Objective To analyze the correlation between head and neck CTA combined with cervical vascular ultrasound to detect atherosclerotic plaques and the occurrence of cerebral infarction or TIA. Methods Study time period： From April 2018 to March 2019， the study subjects conveniently selected 66 patients with atherosclerotic plaque treated in our hospital as the observation group， and selected the same time period to enter the hospital for health examination， 66 persons with carotid atherosclerotic plaques were detected by the middle sieve as a control group， both groups performed head and neck CTA combined with cervical vascular ultrasound examination. The examination data of the two groups were compared and analyzed at the same time of the correlation with the occurrence of cerebral infarction or TIA. Results The detection rate of patients in the observation group was 96.97%， and the detection rate in the control group was 93.94%. The detection rates of the observation group and the control group were ideal， the difference was not statistically significant(χ2=0.968，P>0.05). The carotid artery internal diameter indexes in the observation group were significantly lower than those of the control group. After comparison between the two groups， it was found that the higher incidence of cerebral infarction was bilateral plaques，the difference was statistically significant (P<0.05). Conclusion Atherosclerotic plaque is closely related to cerebral infarction. Studies have shown that the probability of transient ischemic attack (TIA)in the human body is significantly increased after the appearance of atheromatous plaque， and the incidence of cerebral infarction is also higher. If atherosclerotic plaques are found in the examination， early intervention and treatment are needed to control the disease in time to prevent the development of the disease from causing more serious effects on patients., http://www.100md.com(谷达军 袁继红 郑华松 李金钊 刘飞)
[关键词] 头颈部CTA;颈部血管超声;粥样斑块;脑梗死;TIA
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742(2020)04(c)-0046-03
Correlation Analysis of Atherosclerotic Plaque and Cerebral Infarction or TIA in Head and Neck CTA Combined with Neck Vascular Ultrasound
GU Da-jun， YUAN Ji-hong， ZHENG Hua-song， LI Jin-zhao， LIU Fei
Department of Neurology， Jiangjin District Traditional Chinese Medicine Hospital， Chongqing， 402260 China
[Abstract] Objective To analyze the correlation between head and neck CTA combined with cervical vascular ultrasound to detect atherosclerotic plaques and the occurrence of cerebral infarction or TIA. Methods Study time period： From April 2018 to March 2019， the study subjects conveniently selected 66 patients with atherosclerotic plaque treated in our hospital as the observation group， and selected the same time period to enter the hospital for health examination， 66 persons with carotid atherosclerotic plaques were detected by the middle sieve as a control group， both groups performed head and neck CTA combined with cervical vascular ultrasound examination. The examination data of the two groups were compared and analyzed at the same time of the correlation with the occurrence of cerebral infarction or TIA. Results The detection rate of patients in the observation group was 96.97%， and the detection rate in the control group was 93.94%. The detection rates of the observation group and the control group were ideal， the difference was not statistically significant(χ2=0.968，P>0.05). The carotid artery internal diameter indexes in the observation group were significantly lower than those of the control group. After comparison between the two groups， it was found that the higher incidence of cerebral infarction was bilateral plaques，the difference was statistically significant (P<0.05). Conclusion Atherosclerotic plaque is closely related to cerebral infarction. Studies have shown that the probability of transient ischemic attack (TIA)in the human body is significantly increased after the appearance of atheromatous plaque， and the incidence of cerebral infarction is also higher. If atherosclerotic plaques are found in the examination， early intervention and treatment are needed to control the disease in time to prevent the development of the disease from causing more serious effects on patients., http://www.100md.com(谷达军 袁继红 郑华松 李金钊 刘飞)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 中风(脑卒中)