摘要
目的研究广西某高校170名老年人的颈动脉病变情况。方法选取2018年于桂林电子科技大学校医院参加常规体检的170名该校70岁以上退休职工进行双侧颈动脉多普勒超声检查,对其是否发生病变和病变程度的超声表现特点进行分析。结果 170名老年人中采用彩色多普勒超声检查出颈动脉粥样硬化患者147例,检出率86.5%,其中男性检出率为93.8%,女性检出率为77.0%,差异有统计学意义(χ^(2)=9.99,P<0.05)。双侧斑块101例(68.7%),斑块多发44例(29.9%),一侧闭塞2例(1.4%),单纯内中膜增厚6例(4.1%)。结论年龄是颈动脉粥样硬化的危险因素之一,颈动脉粥样硬化在高校70岁以上退休职工患病率偏高,以双侧发病明显,且男性患病率高于女性,斑块以硬斑多见,多发斑块的患者容易出现血管狭窄,甚至闭塞。
Objective To study the carotid artery lesions of 170 elderly people in a university in Guangxi.Methods A total of 170 retired staff over 70 years old who participated in the routine physical examinations at Hospital of Guilin University of Electronic Technology in 2018 were selected for bilateral carotid Doppler ultrasonography.The characteristics of ultrasound findings on the lesions and the extent of lesions were analyzed and summarized.Results In 170 elderly patients,147 patients with carotid atherosclerosis were detected by the color Doppler ultrasonography,the positive rate was86.5%,and the positive rate in the male was 93.8%,the positive rate in the female was 77.0%,and the positive rate of the male was significantly higher than that of the female(χ^(2)=9.99,P <0.05).Among the participants,there were 101 cases(68.7%) with bilateral plaques,44 cases(29.9%) with multiple plaques,2 cases(1.4%) with one side occlusion,and 6 cases(4.1%) with simple medial thickening.Conclusion The age is one of the risk factors of carotid atherosclerosis.The prevalence of carotid atherosclerosis is higher in the retired staff over 70 years old.The incidence of both sides is obvious,and the incidence rate of the males is higher than that of the females.The hard spots are more common,and the patients with multiple plaques are prone to stenosis or even occlusion.
作者
黄暑霞
HUANG Shu-xia(Hospital of Guilin University of Electronic Technology,Guilin 541004,Guangxi,China)
出处
《中国校医》
2021年第1期10-11,62,共3页
Chinese Journal of School Doctor
关键词
老年人
颈动脉
动脉粥样硬化
超声检查
多普勒
彩色
elderly people
carotid artery
atherosclerosis
ultrasonography
Doppler
color
