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随着体检普及

越来越多的人发现

自己的颈动脉里长了斑块

在我国,60岁以上人群

颈动脉斑块检出率几乎高达100%!

检查出颈动脉斑块后

有没有逆转、缩小斑块的方法?

一起来看看吧~

  40岁以上人群,随着年龄增加颈动脉斑块发生率不断升高

  北京大学公共卫生学院的李立明教授团队在《美国医学会杂志》(JAMANetworkOpen)上发表了一项研究,结果显示,在他们调查的1070多万中国成年人中,有五分之一的人颈动脉里存在斑块。

  在我国,40岁以上的人群,颈动脉斑块检出率为40%,而60岁以上的人群,颈动脉斑块检出率几乎高达100%!

  早期颈动脉斑块可能不会带来不适。但当颈动脉斑块到了后期,随着斑块增多,血管出现了严重狭窄,头部就会缺血、缺氧,从而出现头晕、头痛症状。

  颈动脉斑块一旦脱落,就会顺着血流进入大脑,堵塞远端相对比较细小的血管,形成脑卒中,可能会出现偏瘫、失语、口角歪斜甚至意识障碍。

  斑块可逆转关键是控制胆固醇

  通过有效降脂治疗和改变不良生活方式,控制好低密度脂蛋白胆固醇,斑块有可能会逆转。

  目前《中国血脂管理指南(2023年)》所规定或要求的低密度脂蛋白胆固醇治疗目标是:小于1.8mmol/L,甚至到1.4mmol/L。

  但是斑块逆转是需要时间的,既往研究也提示,通过有效治疗,斑块逆转时间大概可能需要1~2年,这个过程还需要去观察。

  如果斑块的表面不光滑、不规则,同时回声比较弱,这种斑块一般富含更多脂质,被称为软斑块。

  需要注意的是,软斑块更容易脱落,引发脑卒中概率也更高一些,需要我们高度重视,及时进行干预、治疗。

  颈动脉斑块形成的危险因素

  高血压、高血脂、高血糖、吸烟、酗酒、运动少、饮食上偏咸偏油等,都是颈动脉斑块形成的危险因素。

  除此之外,随着年龄增长,血管自然老化,出现颈动脉斑块概率也会增加。

  如何知道血管里

  有没有斑块?

  50岁以上人群:一般情况下,通过颈部血管彩超或者是经颅多普勒检查,可以帮助发现颈动脉斑块。建议每年进行健康体检,帮助做到早发现、早预防、早治疗。

  青年人群:除了进行斑块超声检查之外,血液生化检查也很重要。包括通过抽血检查血脂、血糖、尿酸、同型半胱氨酸等,如果结果有异常,就可以及早干预、及早治疗。

  缩小斑块做好这4件事

  饮食做到“3多1少”:

  多吃新鲜蔬菜水果:每天吃够500克蔬菜、250克水果,注意水果要选含糖量相对比较低的。

  多吃粗粮:控制碳水化合物摄入,尽量多吃粗粮。比如全谷物、燕麦、豆类等,它们中富含可溶性膳食纤维,能帮助减少血液吸收的胆固醇数量。

  多吃深海鱼:沙丁鱼、三文鱼、金枪鱼等深海鱼类及其鱼油中富含EPA和DHA,每周食用2~3次为宜,最好清蒸。

  少吃高脂食物:如肥肉、动物内脏、动物油等,少吃盐和糖,严格控制总热量,避免超重和肥胖。

  合理运动:选择适合自己的运动,规律、适量、循序渐进地进行。一般以中等强度的有氧运动为宜,每次约30~50分钟,每周3~5次。

  戒烟戒酒:吸烟、酗酒是斑块形成的危险因素,生活中要尽量做到不吸烟、不喝酒,远离二手烟。

  控制好血压:如果病人有颈动脉斑块合并高血压,血压应低于140/90mmHg,保持在正常范围内,这样才有可能避免一些更严重的后果。

  逆转颈动脉斑块

  你必须知道的4件事

  1.如果斑块出现在颈动脉,就称之为颈动脉斑块。

  2.高血压、高血脂、高血糖、吸烟、酗酒、运动少、饮食上偏咸偏油等,都是颈动脉斑块形成的危险因素。

  3.逆转斑块的关键是控制胆固醇。

  4.缩小斑块做好这4件事:

  ●多吃新鲜蔬菜水果、多吃粗粮、多吃深海鱼、少吃高脂食物;

  ●每次运动约30~50分钟,每周运动3~5次;

  ●戒烟戒酒;

  ●控制好血压。

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