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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 被引量:11

The value of color Doppler ultrasound in the diagnosis of carotid atherosclerosis of patients with cerebral infarction
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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。 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.
出处 《蚌埠医学院学报》 CAS 2014年第7期951-953,共3页 Journal of Bengbu Medical College
关键词 脑梗死 彩色多普勒超声 动脉粥样硬化 内膜 cerebral infarction color Doppler ultrasound plaques intima
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