颈动脉粥样硬化及血脂变化与缺血性脑卒中的关系

CHEN mou-zhu,LIU chao-yang,DU feng-qi,XU shan,XIAO zhi-nan,GAO bao-rong

Seek Medical and Ask the Medicine（2012）

Cited 0|Views16

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Abstract

目的:观察缺血性脑卒中患者颈动脉粥样硬化斑块和血脂变化及其相互关系.方法:对80例经头颅CT和(或)MRI检查确诊的缺血性脑卒中(脑卒中组)和75例健康体检者(对照组),采用多普勒超声检测颈动脉内膜-中层厚度(IMT),并同时检测血脂水平.结果:脑卒中组颈总动脉、颈内动脉及颈总动脉分叉部IMT均明显高于对照(P＜0.01);脑卒中组颈动脉粥样斑块检出率显著高于对照组(P＜0.01);脑卒中组血清总胆固醇(TC)、低密度脂蛋白(LDL)水平明显高于对照组(P＜0.05);脑卒中组有斑块亚组明显高于无斑块亚组(P＜0.05).结论:颈动脉IMT、斑块的部位和性质及血脂变化与缺血性脑卒中的发生密切相关.

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Key words

lipid changes.,ischemic stroke,carotid-artery intima-media thickness (IMT),carotid-artery atherosclerotic plaques

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