摘要
目的观察老年脑卒中高危人群的颈动脉超声表现,探讨颈动脉超声在老年脑卒中高危人群筛查中的价值。方法选取2016年1月至2019年5月安阳市人民医院收治的136例老年脑卒中高危人群作为观察组,另选取同期在本院行健康体检老年人80例作为对照组,所有受试者均接受颈动脉超声检查。比较2组颈动脉内膜增厚、颈动脉内膜斑块、颈动脉狭窄的发生情况。结果观察组颈动脉内膜增厚、颈动脉内膜斑块及颈动脉狭窄发生率均显著高于对照组(P<0.05),颈动脉轻度、中度、重度狭窄发生率均显著高于对照组(P<0.05)。观察组检出颈动脉内膜斑块21例(15.44%),单发16例(11.76%),多发5例(3.68%),性质以规则均质为主;对照组检出颈动脉内膜斑块4例(5.00%),均为单发,性质以不规则不均质为主。结论颈动脉超声能清晰地显示颈动脉内中膜厚度,判断斑块是否形成及管腔的狭窄程度,在老年脑卒中高危人群筛查及诊治过程中具有较高的应用价值。
Objective To observe the ultrasonic manifestations of carotid artery in elderly people at high risk of stroke,and to explore the value of carotid ultrasound in screening of high-risk stroke population.Methods A total of 136 elderly high-risk stroke people admitted to Anyang People’s Hospital from January 2016 to May 2019 were selected as the observation group,and 80 elderly people who underwent physical examination in our hospital during the same period as the control group.All subjects received carotid artery ultrasound examination.The incidences of carotid intimal thickening,plaque and stenosis were compared between the two groups.Results The incidences of carotid intimal thickening,carotid intimal plaques and mild,moderate and severe carotid artery stenosis in observation group were higher than those in control group(P<0.05).Regular and homogeneous plaques were mainly found in 21 elderly people at high risk of stroke(15.44%),including 16 cases of single plaques(11.76%)and 5 cases of multiple plaques(3.68%).Irregular and heterogeneous plaques were mainly observed in 4 control subjects with single plaques(5.00%).Conclusion Carotid ultrasonography can clearly show carotid artery intima-media thickness,plaque formation and stenosis degree.Therefore,it has high application value in the screening,diagnosis and treatment of stroke in elderly high-risk population.
作者
吴多钢
林安梅
刘晓新
付艳苗
WU Duo-gang;LIN An-mei;LIU Xiao-xin;FU Yan-miao(Department of Ultrasound,Anyang People’s Hospital,Anyang 455000,China)
出处
《实用临床医学（江西）》
CAS
2020年第2期66-68,共3页
Practical Clinical Medicine
关键词
颈动脉超声
老年脑卒中
高危人群
筛查
carotid ultrasound
stroke in elderly
high-risk population
screening
