[1]何庆芳,周 红.颈动脉及椎动脉因素与脑梗死的关系[J].医学信息,2021,34(12):82-86.[doi:10.3969/j.issn.1006-1959.2021.12.022]
　HE Qing-fang,ZHOU Hong.The Relationship Between Carotid and Vertebral Artery Factors and Cerebral Infarction[J].Medical Information,2021,34(12):82-86.[doi:10.3969/j.issn.1006-1959.2021.12.022]
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颈动脉及椎动脉因素与脑梗死的关系()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
82-86
栏目:
论著
出版日期:
2021-06-15

文章信息/Info

Title:
The Relationship Between Carotid and Vertebral Artery Factors and Cerebral Infarction
文章编号:
1006-1959（2021）12-0082-05
作者:
何庆芳; 周 红
（南京医科大学附属江苏盛泽医院神经内科，江苏 苏州 215228）
Author(s):
HE Qing-fang; ZHOU Hong
(Department of Neurology,Jiangsu Shengze Hospital Affiliated to Nanjing Medical University, Suzhou 215228,Jiangsu,China)
关键词:
脑梗死; 颈动脉; 椎动脉; 血流指标; IMT
Keywords:
Cerebral infarction; Carotid artery; Vertebral artery; Blood flow index; IMT
分类号:
R743.3；R444
DOI:
10.3969/j.issn.1006-1959.2021.12.022
文献标志码:
A
摘要:
目的 分析脑梗死患者颈动脉及椎动脉条件，探讨脑梗死与颈动脉及椎动脉的关系及临床意义。方法 随机选取江苏盛泽医院2017年10月~2018年7月的141例脑梗死患者作为观察组，另选取48例同期体检的健康人群作为对照组，观察组包含急性脑梗死患者92例设为ACI组，比较观察组与对照组临床资料及双侧颈总动脉、颈内动脉、椎动脉IMT、PSV、EDV、RI数值，比较ACI组与对照组颈动脉斑块及颈动脉、椎动脉血流指标，分析颈动脉及椎动脉血流指标在脑梗死中的诊断价值。结果观察组的颈动脉斑块发生率、双侧颈总动脉及双侧颈内动脉的IMT值均高于对照组（P＜0.05）；观察组与对照组右椎动脉PSV值、RI值比较，差异无统计学意义（P＞0.05）；观察组余血管PSV及EDV值均低于对照组，RI值均高于对照组（P＜0.05）；ACI组颈动脉斑块发生率、双侧颈总动脉及双侧颈内动脉的IMT值、双侧颈动脉及双侧椎动脉RI均高于对照组，双侧颈动脉及双侧椎动脉EDV值均低于对照组（P＜0.05）；ACI组与对照组左颈内动脉及右椎动脉PSV值比较，差异无统计学意义（P＞0.05），余血管PSV值均低于对照组（P＜0.05）；颈动脉及椎动脉超声中颈动脉IMT值、颈动脉及椎动脉RI值的曲线下面积（AUC）均介于0.5~0.7，且ACI组在同指标AUC高于观察组。结论 脑梗死患者更易发生颈动脉斑块，且血液流速降低、血管阻力升高。血管超声对脑梗死尤其是急性脑梗死的诊断价值大，血管超声对急性脑梗死的发生具有一定预测作用。
Abstract:
Objective To analyze the conditions of carotid artery and vertebral artery in patients with cerebral infarction, and to explore the relationship and clinical significance of cerebral infarction, carotid artery and vertebral artery.Methods 141 patients with cerebral infarction in Jiangsu Shengze Hospital from October 2017 to July 2018 were randomly selected as the observation group.In addition, 48 healthy people who received physical examinations at the same time were selected as the control group. The observation group included 92 patients with acute cerebral infarction as the ACI group. The clinical data of the observation group and the control group were compared with bilateral common carotid artery, internal carotid artery, and vertebral artery IMT. The values of PSV, EDV and RI were compared with carotid artery plaque and carotid artery and vertebral artery blood flow indexes in the ACI group and the control group, and the diagnostic value of carotid artery and vertebral artery blood flow indexes in cerebral infarction was analyzed.Results The incidence of carotid plaque and the IMT values of bilateral common carotid arteries and bilateral internal carotid arteries in the observation group were higher than those in the control group (P＜0.05);There was no statistically significant difference in the PSV and RI values of the right vertebral artery between the observation group and the control group (P＞0.05);The PSV and EDV values of the remaining blood vessels of the observation group were lower than those of the control group, and the RI values were higher than those of the control group (P＜0.05);The incidence of carotid plaque, the IMT values of bilateral common carotid arteries and bilateral internal carotid arteries, and the RI of bilateral carotid arteries and bilateral vertebral arteries in the ACI group were higher than those in the control group.The EDV values of bilateral carotid arteries and bilateral vertebral arteries were lower than those of the control group (P＜0.05);The PSV values of the left internal carotid artery and right vertebral artery were notstatistically different between the ACI group and the control group (P＞0.05), and the PSV values of the remaining blood vessels were lower than those of the control group (P＜0.05);The area under the curve (AUC) of carotid artery and vertebral artery IMT value and carotid artery and vertebral artery RI value in carotid artery and vertebral artery ultrasound ranged from 0.5 to 0.7 and the ACI group was higher than the observation group in the same index AUC.Conclusion Patients with cerebral infarction are more likely to develop carotid plaques, with reduced blood flow rate and increased vascular resistance.Vascular ultrasound is of great value in the diagnosis of cerebral infarction, especially acute cerebral infarction, and vascular ultrasound has a certain predictive effect on the occurrence of acute cerebral infarction.

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更新日期/Last Update: 1900-01-01