医学临床研究
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医学临床研究  2022, Vol. 39 Issue (9): 1372-1374    DOI: 10.3969/j.issn.1671-7171.2022.09.025
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急性缺血性脑卒中TOAST分型中大动脉粥样硬化型与小动脉闭塞型患者颈动脉斑块不稳定的影响因素
刘云
长沙市第一医院,湖南 长沙 410000
Influential Factors of Carotid Plaque Instability in Patients with Large Atherosclerosis and Small Artery Occlusion in TOAST Classification of Acute Ischemic Stroke
LIU Yun
The First Hospital of Changsha,Changsha Hunan 410000
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摘要 【目的】探讨急性缺血性脑卒中TOAST分型中大动脉粥样硬化型与小动脉闭塞型患者颈动脉斑块不稳定的影响因素。【方法】回顾分析2019年1月至2022年1月本院收治的127例急性缺血性脑卒中患者,根据TOAST分型将其分为大动脉粥样硬化型组(n=48)和小动脉闭塞型组(n=69)。比较两组颈动脉斑块的发生、稳定性及数量,采用二项分类Logistic回归分析斑块不稳定性的相关影响因素。【结果】大动脉粥样硬化型组有颈动脉斑块形成39例(81.25%),小动脉闭塞型间组有颈动脉斑块形成59例(85.51%)。两组患者颈动脉斑块形成的发生率、颈动脉斑块稳定性、颈动脉斑块数量比较,差异均无统计学意义(P>0.05)。二项分类Logistic回归分析显示,性别、斑块数量为颈动脉粥样硬化斑块不稳定性的影响因素(P<0.05)。【结论】男性、多发斑块是急性缺血性脑卒中患者颈动脉斑块不稳定性的影响因素,临床需重点关注此类患者,加强干预措施。
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刘云
关键词 脑缺血卒中急性病颈动脉狭窄影响因素分析    
Abstract:【Objective】 To investigate the influencing factors of carotid plaque instability in patients with acute ischemic stroke in TOAST classification. 【Methods】 Retrospective analysis was made on 127 patients with acute ischemic stroke admitted to our hospital from January 2019 to January 2022. According to TOAST classification, they were divided into two groups:large atherosclerosis group(n=48) and small artery occlusion group(n=69). The occurrence, stability and quantity of carotid plaque in the two groups were compared, and the related factors of plaque instability were analyzed by binomial logistic regression.【Results】Carotid plaque was found in 39 cases (81.25%) of the large atherosclerosis group and 59 cases (85.51%) of the small artery occlusion group. There was no significant difference between the two groups in the incidence of carotid plaque formation, the stability of carotid plaque, and the number of carotid plaque (P>0.05). The results of binomial logistic regression analysis showed that gender and plaque number were the influencing factors of carotid atherosclerotic plaque instability (P<0.05).【Conclusion】 Male and multiple plaques are the influencing factors of carotid plaque instability in patients with acute ischemic stroke. Clinical attention should be focused on such patients and intervention measures should be strengthened.
Key wordsBrain Ischemia    Stroke    Acute Disease    Carotid Stenosis    Root Cause Analysis
收稿日期: 2022-07-11     
中图分类号:  R743.3  
引用本文:   
刘云. 急性缺血性脑卒中TOAST分型中大动脉粥样硬化型与小动脉闭塞型患者颈动脉斑块不稳定的影响因素[J]. 医学临床研究, 2022, 39(9): 1372-1374.
LIU Yun. Influential Factors of Carotid Plaque Instability in Patients with Large Atherosclerosis and Small Artery Occlusion in TOAST Classification of Acute Ischemic Stroke. JOURNAL OF CLINICAL RESEARCH, 2022, 39(9): 1372-1374.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.09.025     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I9/1372
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