摘要
目的探讨缺血性脑血管病患者颈动脉杂音与颈部血管狭窄的相关性,为临床诊断颈动脉狭窄提供依据。方法将2010年8月至2012年6月因缺血性脑血管病在我院神经内科住院的186例患者纳入研究,首先对所有患者予颈动脉听诊,根据有无杂音,将患者分为杂音组和非杂音组。排除静脉杂音、心脏杂音及甲状腺杂音者。对所有患者行颈部血管超声和经颅多普勒检查,分析颈部动脉有无狭窄。结果 96例患者听诊有血管杂音,杂音组有颈动脉狭窄者64例,占66.67%;无杂音组90例中有24例患者有动脉狭窄,占26.67%;杂音组出现颈动脉狭窄的比例明显高于无杂音组(P<0.05)。血管杂音易出现在狭窄程度在70%～90%的颈总动脉分叉前后,差异有统计学意义(P<0.05)。结论血管杂音与缺血性脑血管病患者颈动脉狭窄的部位有关,与狭窄的程度亦相关,临床上可作为一个初筛指标来判断颈动脉有无狭窄。
Objective To study the correlation between vascular murmur and carotid artery stenosis in patients with ischemic cerebrovascular disease, in order to provide clinical basis for the diagnosis of carotid artery stenosis. Methods One hundred and eighty-six patients with ischemic eerebrovascular disease from August 2010 to June 2012 in our hospital were enrolled in the study. The patients were first treated with carotid artery auscultation, and then divided into the noise group and the non-noise group. Patients with vein murmur, heart murmur and thyroid mur- mur were excluded. All the patients received neck vascular ultrasound and transcranial doppler check, and carotid ar tery stenosis was analyzed. Results Ninety-six patients had auscultation vascular murmur. In the noise group, 64 patients had carotid artery stenosis, accounting for 66.67%. In the no-noise group, 24 patients had carotid artery stenosis, accounting for 26.67%. The incidence of carotid artery stenosis was significantly higher in the noise group than the no-noise group （P〈0.05）. Vascular murmur was prone to occur around the common carotid artery bifurcation with stenosis of 70%-90% （P〈0.05）. Conclusion Vascular murmur is correlated with the site and degree of carotid artery stenosis in patients with ischemic cerebrovascular disease, which can be used as initial indexes for the diagnosis of carotid artery stenosis.
出处
《海南医学》
CAS
2013年第8期1125-1127,共3页
Hainan Medical Journal
关键词
颈动脉杂音
缺血性脑血管病
血管狭窄
相关性
Vascular murmur
Ischemic ccrebrovascular disease
Carotid artery stenosis
Correlation
