目的探讨深圳地区不同年龄、性别与颈动脉粥样硬化的关系。方法以4968例40岁以上深圳常住居民为研究对象,行颈动脉超声检查。按照不同年龄段及性别分组,统计不同年龄段、性别中颈动脉粥样硬化病人比例,比较颈动脉粥样硬化组与颈动脉正常组的脑梗死发生情况。结果男性颈动脉粥样硬化发病率总体高于女性(P〈0.01),但此差异随年龄增加呈下降趋势;60岁女性发病率高于男性(P〈0.05);颈动脉硬化病人脑梗死发生率高于颈动脉正常组(P〈0.01)。结论不同年龄、性别颈动脉粥样硬化的发病率不同,年龄对女性的影响较大。利用颈动脉超声检查及早发现颈动脉粥样硬化并进行合理干预.有利于降低脑梗死发生率。
Objective To investigate the incidence of carotid atherosclerosis in people with different gender and age in Shenzhen. Methods The carotid ultrasound examination was performed in 4968 Shenzhen usual residents (〉40 years). The incidence of carotid atherosclerosis was compared between the different groups. The relationship between the carotid atherosclerosis and cerebral infarction was also investigated in the study. Results The prevalence of carotid atherosclerosis was higher in men than women (P 〈 0.01). The increase in age attenuated the difference between men and women. The prevalence of carotid atherosclerosis in women older than 60 years old was slightly higher than men at the same level of age (P 〈 0.05). There was significant higher prevalence of cerebral infarction in patients with carotid atherosclerosis than those with normal carotid artery (P 〈 0.01). Conclusions There is significant difference in prevalence of carotid atherosclerosis between different genders and ages. The age has a greater influence on women than men. To detect the carotid atherosclerosis early and offer the appropriate interventions are beneficial to the primary prevention of cerebral infarction.