摘要
目的探讨颈动脉彩色多普勒超声检查对老年缺血性脑血管病患者的诊断中的临床价值。方法将140例缺血性脑血管病患者按照年龄分为两组,≥60岁的患者70例设为研究组,<60岁的70例患者设为对照组。两组均进行颈动脉彩色多普勒超声检查,比较两组颈动脉超声指标、斑块种类和数量及颈动脉狭窄程度。结果研究组颈动脉内中膜厚度、收缩期峰值血流速度、舒张末期血流速度均显著大于对照组(P<0.01),阻力指数显著小于对照组(P<0.01)。研究组硬斑检出率显著高于对照组(P<0.01),斑块总检出率显著高于对照组(P<0.01)。研究组轻度狭窄患者显著少于对照组(P<0.01),重度狭窄患者显著多于对照组(P<0.01)。结论颈动脉彩色多普勒超声检查在老年缺血性脑血管疾病的诊断中具有较好的应用价值,可以准确判断斑块硬化状况及颈动脉狭窄程度,操作简单,可重复性高。
Objective To investigate the clinical value of carotid artery color Doppler ultrasonography in the diagnosis of elderly patients with ischemic cerebrovascular disease.Methods 140 cases of patients with ischemic cerebrovascular disease were divided into two groups by age.70 patients with age ≥60 years old were set as study group,and 70 patients with age <60 years old were set as control group.Carotid ultrasonography was performed in both groups.Carotid ultrasound parameters,plaque type and number, and carotid stenosis severity were compared between the two groups.Results The carotid intima-media thickness,systolic peak blood flow velocity,and end diastolic velocity were significantly higher in the study group than those in the control group (P<0.01).The resistance index in the study group was significantly lower than that in the control group (P<0.01).The detection rate of plaques in the study group was was significantly higher than that in the control group (P<0.01),the total detection rate of plaques was significantly higher than that in the control group (P<0.01).The patients with mild stenosis in the study group were significantly less than those in the control group (P<0.01),and the patients with severe stenosis were significantly more than those in the control group (P<0.01).Conclusion Carotid artery color Doppler ultrasonography has a good application value in the diagnosis of senile ischemic cerebrovascular disease,which can accurately determine plaque sclerosis and carotid stenosis,and is easy to operate and with high repeatability.
作者
马应稳
遵晓文
司培云
Ma Yingwen;Zun Xiaowen;Si Peiyun(Henan Retired Cadre Rehabilitation Hospital,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2019年第1期122-124,共3页
Journal of Clinical Psychosomatic Diseases
基金
郑州市科技创新人才项目(编号2016005032).
关键词
缺血性脑血管病
颈动脉超声
颈动脉粥样硬化
狭窄程度
Ischemic cerebrovascular disease
carotid ultrasound
carotid atherosclerosis
stenosis
