摘要
目的:探讨颈动脉粥样硬化斑块对脑梗死患者病情及复发的影响。方法:收治首发急性脑梗死患者80例,用多普勒超声对患者颈动脉斑块进行探查和定性,并分成斑块组、无斑块组。采用NIHSS评分法对患者在入院时、入院后的第7天和第14天进行神经功能评估。结果:斑块组与无斑块组比较,每个观察时间点NIHSS评分均显著升高;随访患者中,斑块组患者脑梗死复发19例,无斑块组2例(P<0.05)。结论:颈动脉粥样硬化斑块会加重急性脑梗死的病情,并且复发率特别高。
Objective:To investigate the effect of carotid atherosclerosis on severity and recurrence of patients with cerebral infarction.Methods:80 patients with acute cerebral infarction for the first time were selected,then exploratory and qualitative of carotidplaques in patients with Doppler ultrasound.They were divided into the plaque group and the non plaque group.Then weevaluated their nerve function at admission and the seventh and fourteenth days after admission using NIHSS score method.Results:Compared with the non plaque group,the NIHSS score of the plaque group in each observation time point were increased significantly;then followed-up all of those patients,there were 19 cases in the plaque group with cerebral infarction recurrence,while2 cases in the non plaque group(P<0.05).Conclusion:Carotid atherosclerotic plaque can aggravate the condition of acute cerebralinfarction,and the recurrence rate is particularly high.
作者
杜圆圆
宋海燕
Du Yuanyuan;Song Haiyan(Department of Internal Medicine,the Hospital of Bayan'nao'er City,Inner Mongolia 015000)
出处
《中国社区医师》
2016年第16期115-115,117,共2页
Chinese Community Doctors
关键词
颈动脉粥样硬化斑块
脑梗死复发
多普勒超声
Carotid atherosclerotic plaque
The recurrence of cerebral infarction
Doppler ultrasound
