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急性脑梗死患者颈动脉粥样硬化相关危险因素的研究

作者：王伟张俊清刘波刘洋辛娟娟马天怡
学科：医药卫生 > 临床医学
创建时间：2015-05-15
出处：《医师在线》 2015年第5期
机构：王伟张俊清刘波刘洋辛娟娟马天怡（包头医学院第一附属医院神经内一科014010）

简介：摘要目的探讨急性脑梗死患者颈动脉粥样硬化的相关危险因素，为临床预防颈动脉粥样硬化提供参考。方法对240例急性脑梗死患者行颈动脉血管超声检查，根据检查结果分为斑块组和对照组，同时对两组患者的血浆进行D-D、CysC、甘油三酯、胆固醇、高密度脂蛋白及低密度脂蛋白、空腹血糖、纤维蛋白原等进行检测，对相关性进行分析。结果斑块组D-D、CysC水平均高于对照组，差异有统计学意义(P＜0.05)；斑块组例数明显多于对照组（P＜0.05），差异有统计学意义；斑块组D-D、CysC呈正相关，且二者均与双侧crouse积分相关。结论血浆D-D、CysC指标与急性脑梗死患者颈动脉粥样硬化密切相关，这两个指标可作为预测动脉粥样硬化发生及程度的因子之一。
标签： D 二聚体胱抑素C 急性脑梗死颈动脉粥样硬化中图分类号 R2 文献标号 A 文章编号 2095-7165（2015）09-0030-02The investigation of related risk factor of carotid atherosclerosis in patients with acutecerebral infarctionWang Wei，ZhangJunqing，Liu bo Liu yang Xin Juanjuan Ma Tianyi（Department of Neurology，the First Affiliated Hospital of Baotou Medical College，Baotou 014010，China）AbstractObjectiveTo explore the related risk factors of carotid atherosclerosis in patients with acute cerebral infarction to provide reference foratherosclerosis．Methods Plaques were detected in 240 patients with color doppler ultrasound．According to plaque or not，all the patients weredivided into plaque group and control group．The plasma D-dimer CysC total cholestrol triglyceride high density lipoprotein low density lipoprotein fasting plasma glucose fibrinogen homocysteine were tested in all patients to analyse the relationship of atherosclerosis and risk factors．ResultsThelevels of D-dimer and CysC in plaque group were significantly higher than tho

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