Objective To explore the relationship between the levels of serum resistin,oxidized low-density lipoprotein(ox-LDL) and matrix metalloproteinase-9 (MMP-9) and carotid artery plaque in senile patients with acute cerebral infarction (ACI).Methods A total of 120 senile patients suffering ACI to receive treatment in our hospital were divided into normal-IMT group and plaque group (n =60,respectively) according to the carotid intima-media thickness (IMT),and another batch of persons in normal healthy condition were selected to constitute a health group (n =30).Enzyme-linked immunosorbent assay (ELISA) was adopted for determining the levels of serum resistin,ox-LDL and MMP-9.Results Compared with those in the plaque group and the health group,the TC,TG,and HDL-C in the normal-IMT group has no significant differences (P > 0.05);the BMI,TC,and TG in the plaque group were significantly higher than those in the health group,while the HDL-C was significantly lower than that in health group (P < 0.05).The average levels of serum resistin,ox-LDL and MMP-9 in the plaque group were significantly higher than those in the normal-IMT group and the health group(P < 0.05),and those in the normal-IMT group were significantly higher than those in the health group (P < 0.05).Spearman correlation analysis showed that in the plaque group the serum resistin and ox-LDL kept a positive correlation with the MMP-9 and serum resistin kept a positive correlation with the ox-LDL.Conclusion The serum resistin,ox-LDL and MMP-9 can reflect the severity of carotid artery plaque in senile patients ACI,so they can be used as an important reference index in the diagnosis on senile carotid artery plaque.