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《Chinese Journal of Geriatric Heart Brain and Vessel Diseases》 2008-02
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Study of carotid artery atheromatous plaque and relative factors in elderly cerebral infarction patients

WANG Gen-fa,ZHU Hong-lian,PAN Zhi-hong(Department of Geriatrics,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China)  
Objective To explore the prevalence of carotid artery atheromatous plaque and its relation to relative factors in elderly cerebral infarction patients.Methods Carotid artery was evaluated by HDI-5000 color Doppler ultrasound in elderly cerebral infarction group(n=160)and control group(n=60).Blood glucose,blood lipid and blood fibrinogen were examined in the two groups and their relationships with carotid artery plaque were analysed.Results The prevalence of carotid artery plaque in elderly cerebral infarction group and control group were 77.5% and 20.0% respectively,with statistically significant difference(P0.01).In elderly cerebral infarction patients,the plaque was frequently located at the bifurcation of common carotid artery.Hypertension,high levels of cholesterol,diabetes mellitus,high low density lipoprotein-cholesterol and high fibrinogen were risk factors for carotid artery atheromatous plaque in elderly cerebral infarction patients.Condusion There is a close relationship between carotid artery atheromatous plaque and elderly cerebral infarction.Early finding of carotid artery plaque by ultrasonography and controlling of risk factors play very important roles in the prevention and treatment of elderly cerebral infarction.
【CateGory Index】: R743.3
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