摘要
目的:探讨心脑血管疾病与颈动脉粥样硬化斑块形成的相互关系。方法:选择186例三种疾病(高血压病60例、冠心病67例、糖尿病59例)的患者,用Logiq400彩色多普勒动态检测颈总动脉(CCA)、颈内动脉(ECA)、颈外动脉(ICA)的内膜-中膜厚度变化参数和颈动脉斑块分布位置。结果:发现186例的颈动脉粥样硬化斑块,多见于颈动脉的分叉部(球部)和ICA起始段2.0 cm范围内,易见颈动脉粥样硬化斑块形成(80%分布在此处),斑块直径约2 cm^2.2 cm,颈动脉内膜-中膜厚度与健康组相比差异有显著性(P<0.05~0.001)。结论:临床表明颈动脉粥样硬化斑块和颈动脉内膜-中膜的增厚,是心、脑血管疾病的危险因素,它们的形成影响了心脑血管的结构和功能。通过超声彩色多普勒动态观察可以尽早发现动脉粥样硬化的形成,并检测出小的狭窄性动脉粥样硬化斑的位置,从而能为患者提供有效的干预措施和治疗方案。
Objective：To investigate the relationship between cerebral vascular disease and the form of carotid atherosclerotic plaque. Methods： 186 patients with three kinds of diseases （ hypertension 60 ,coronary heart disease 67 ,diabetes 59 ） were measured by LOGIQ 400 transcutaneous ultrasound of the parameter changes of internal - central membrane thickness including CCA （ Central Carotid Artery） , ICA （ Interior Carotid Artery） ,ECA （ Exterior Carotid Artery ） and the distributing place of carotid atherosclerotic plaque. Resuits： In the three kinds of disease, carotid atherosclerotic plaque had different distribution and the carotid artery internal - central membrane thickness show such a difference between 186 patients and healthy persons matched values （P 〈 0.05 -0.001 ）. The diameter of atherosclerotic plaque was about （2 -2.2 cm）, they appeared on the branch of carotid which narrow area were about 80%. Conclusions： The results indicate that the form of carotid atherosclerotic plaque was discovered as early as possible by ecbocardiography and then we can constitute RX in effect for patient.
出处
《中国民康医学》
2007年第9期357-358,共2页
Medical Journal of Chinese People’s Health
关键词
心脑血管疾病
颈动脉粥样硬化斑块
相互关系
Cerebral vascular disease
Carotid atherosclerotic plaque
Relationship
