目的 探讨急性脑梗死患者血脂异常类型与颈动脉粥样硬化的关系.方法 选择我院215例急性脑梗死患者,根据胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)检测结果分为高胆固醇组(73例)、高三酰甘油组(28例)、低高密度脂蛋白胆固醇组(79例)、混合血脂异常组(35例).观察颈动脉粥样硬化特征.结果 高胆固醇、高三酰甘油、低高密度脂蛋白胆固醇、混合血脂异常例数分别为73(33.95%)、28(13.02%)、79(36.74%)、35(16.28%);四组颈动脉硬化斑块检出率分别为86.30%(63/73)、89.29%(25/28)、82.28%(65/79)、71.43%(25/53);颈动脉粥样硬化多发生于双侧颈动脉.结论 颈动脉粥样硬化与患者血脂异常类型密切相关,胆固醇增加、低高密度脂蛋白胆固醇是诱发颈动脉粥样硬化的危险因素.%Objective To discuss the relationship between dyslipidemia type and carotid atherosclerosis of patients with a-cute cerebral infarction. Methods According to TC, TG, LDL-C, HDL-C test results, 215 patients with acute cerebral infarction were divided into four groups: high cholesterol group (73 cases), high triglycerides group (28 cases), low high-density lipoprotein cholesterol group (79 cases) and mixed dyslipidemia group (35 cases), the characteristics of carotid atherosclerosis were observed. Results The abnormal number of four groups were 73 (33.95%), 28 (13.02%), 79 (36.74%), 35 (16.28%), as well as the detection rates of carotid atherosclerotic plaque were 86.3% (63/73), 89.29% (25/28), 82.28% (65/79), 71.43% (25/53). The results of the experiments showed carotid atherosclerosis mostly occurred in the bilateral carotid arteries. Conclusion Carotid atherosclerosis is closely related to abnormal blood lipid type. Increased cholesterol and low high-density lipoprotein cholesterol are risk factors inducing carotid atherosclerosis.
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