彩色多普勒超声在脑梗死患者颈动脉粥样硬化诊断中的应用

高燕燕; 燕小朋; 汪亚男; 尹正银

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彩色多普勒超声在脑梗死患者颈动脉粥样硬化诊断中的应用

高燕燕 , 燕小朋 , 汪亚男 , 尹正银

文章导航 > 蚌埠医学院学报 > 2014, 39 > 7: (951-953)

引用本文:

Citation:

彩色多普勒超声在脑梗死患者颈动脉粥样硬化诊断中的应用

1. 蚌埠医学院第二附属医院功能科, 安徽蚌埠 233040;
2. 蚌埠医学院第一附属医院功能科, 安徽蚌埠, 233004

作者简介: 高燕燕（1964-），女，主治医师.

中图分类号: R743.33;R543.5

The value of color Doppler ultrasound in the diagnosis of carotid atherosclerosis of patients with cerebral infarction

1. Department of Function Test, The Second Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233040;
2. Department of Function Test, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
CLC number: R743.33;R543.5

摘要: 目的：探讨彩色多普勒超声对脑梗死患者颈动脉粥样硬化的诊断价值。方法：对123例脑梗死患者及90名正常人的颈动脉内中膜厚度及斑块形成进行对比分析。结果：脑梗死患者颈动脉粥样硬化斑块形成检出率63.4%，单纯内膜增厚检出率21.9%；55岁以上组颈动脉斑块检出率明显高于55岁以下组（P<0.05）。正常人颈动脉粥样硬化斑块形成检出率6.7%；单纯内膜增厚检出率11.1%；脑梗死组颈动脉粥样硬化斑块形成检出率高于对照组（P<0.01）；脑梗死患者患有高血压病的颈动脉粥样硬化斑块检出率72.6%，患糖尿病的颈动脉粥样硬化斑块检出率60.0%，同时患有高血压及糖尿病颈动脉粥样硬化斑块检出率84.4%，明显高于无高血压及糖尿病患者（P<0.01）。结论：彩色多普勒超声检查可早期发现脑梗死患者是否有颈动脉粥样硬化，以55岁以前为关键期，是一种无创、有价值的实用方法。
- 脑梗死 /
- 彩色多普勒超声 /
- 动脉粥样硬化 /
- 内膜
Abstract: Objective: To explore the value of color Doppler ultrasound in the diagnosis of carotid atherosclerosis of patients with cerebral infarction.Methods: The medial membrane thickness of carotid artery and plaque formation in 123 cases with cerebral infarction and 90 healthy people were analyzed.Results: The detection rates of carotid atherosclerosis plaque formation and pure intima thickening in the patients with cerebral infarction were 63.4% and 21.9%,respectively,the detection rate of plaque formation in more than 55 years old patients was significantly higher than that in less than 55 years old patients(P<0.05).The detection rates of carotid atherosclerosis plaque formation and pure intima thickening in healthy people were 6.7% and 11.1%,respectively.The detection rate of carotid atherosclerosis in patients with cerebral infarction was higher than that in healthy people(P<0.01).The detection rates of carotid atherosclerosis plaque formation in patients with cerebral infarction complicated with hypertension,diabetes and above two kinds of diseases were 72.6%,60.0% and 84.4%,respectively,which was significantly higher than that in cerebral infarction patients without hypertension and diabetes(P<0.01).Conclusions: Color Doppler ultrasound examination can early detect the carotid atherosclerosis in patients with cerebral infarction,which is a noninvasive and valuable method.The less than 55 years old of patient is a critical period.
- cerebral infarction /
- color Doppler ultrasound /
- plaques /
- intima

[1]	祝善尧,徐劲,马克玉,等.彩色多普勒超声对脑梗死与颈动脉粥样硬化的相关性分析[J].中国实用神经疾病杂志,2008,6(11):12-14.
[2]	黄平邵,邵国富,刘瑞杰,等.颈动脉粥样硬化与不同类型脑梗死的关系[J].神经疾病与精神卫生,2008,8(6):443-445.
[3]	王金荣,张泽峰,叶新春,等.彩超对脑梗死患者颈动脉粥样硬化的研究[J].中国临床医药研究杂志,2008(18):3-4.
[4]	王兆瑞.彩超检测脑梗死50例颈动脉斑块的临床意义分析[J].中国误诊学杂志,2008,8(33):8242-8243.
[5]	程春平,叶新.80例脑梗死颈动脉彩超临床分析[J].中国医药导报,2009,6(31):134-135.
[6]	华杨.实用颈动脉与颅脑血管超声诊断学[M].北京:科学出版社,2002:176-186.
[7]	黄海,宋淑琴,吴晓明,等.彩超在颈动脉在脑梗死中的临床意义和价值[J].中国现代医生,2007,45(21):66.
[8]	华杨.动脉粥样硬化危险因素与颈动脉狭窄和缺血性猝中的相关性[J].中国脑血管病杂志,2009,1(2):69-72.
[9]	陈国.彩超检查脑梗死患者颈动脉的分析[J].航空航天医药,2010,6(6):921-922.
[10]	黄卫华,郭树明.彩超对颈动脉粥样硬化与脑梗死的相关性探讨[J].中国现代医生,2007,45(16):101.

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彩色多普勒超声在脑梗死患者颈动脉粥样硬化诊断中的应用

作者简介: 高燕燕（1964-），女，主治医师.

1. 蚌埠医学院第二附属医院功能科, 安徽蚌埠 233040;
2. 蚌埠医学院第一附属医院功能科, 安徽蚌埠, 233004

收稿日期: 2013-07-17

关键词:

摘要: 目的：探讨彩色多普勒超声对脑梗死患者颈动脉粥样硬化的诊断价值。方法：对123例脑梗死患者及90名正常人的颈动脉内中膜厚度及斑块形成进行对比分析。结果：脑梗死患者颈动脉粥样硬化斑块形成检出率63.4%，单纯内膜增厚检出率21.9%；55岁以上组颈动脉斑块检出率明显高于55岁以下组（P<0.05）。正常人颈动脉粥样硬化斑块形成检出率6.7%；单纯内膜增厚检出率11.1%；脑梗死组颈动脉粥样硬化斑块形成检出率高于对照组（P<0.01）；脑梗死患者患有高血压病的颈动脉粥样硬化斑块检出率72.6%，患糖尿病的颈动脉粥样硬化斑块检出率60.0%，同时患有高血压及糖尿病颈动脉粥样硬化斑块检出率84.4%，明显高于无高血压及糖尿病患者（P<0.01）。结论：彩色多普勒超声检查可早期发现脑梗死患者是否有颈动脉粥样硬化，以55岁以前为关键期，是一种无创、有价值的实用方法。

English Abstract

The value of color Doppler ultrasound in the diagnosis of carotid atherosclerosis of patients with cerebral infarction

1. Department of Function Test, The Second Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233040;
2. Department of Function Test, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2013-07-17

Abstract: Objective: To explore the value of color Doppler ultrasound in the diagnosis of carotid atherosclerosis of patients with cerebral infarction.Methods: The medial membrane thickness of carotid artery and plaque formation in 123 cases with cerebral infarction and 90 healthy people were analyzed.Results: The detection rates of carotid atherosclerosis plaque formation and pure intima thickening in the patients with cerebral infarction were 63.4% and 21.9%,respectively,the detection rate of plaque formation in more than 55 years old patients was significantly higher than that in less than 55 years old patients(P<0.05).The detection rates of carotid atherosclerosis plaque formation and pure intima thickening in healthy people were 6.7% and 11.1%,respectively.The detection rate of carotid atherosclerosis in patients with cerebral infarction was higher than that in healthy people(P<0.01).The detection rates of carotid atherosclerosis plaque formation in patients with cerebral infarction complicated with hypertension,diabetes and above two kinds of diseases were 72.6%,60.0% and 84.4%,respectively,which was significantly higher than that in cerebral infarction patients without hypertension and diabetes(P<0.01).Conclusions: Color Doppler ultrasound examination can early detect the carotid atherosclerosis in patients with cerebral infarction,which is a noninvasive and valuable method.The less than 55 years old of patient is a critical period.