摘要
目的观察颈动脉彩超与肱踝脉搏波速度(BaPWV)诊断动脉血管病变的相关性。方法对2248例体检人员进行双侧颈动脉彩超检查及BaPWV测定,并对两项结果进行相关分析。结果 BaPWV在1000～1300 cm/s的784例中,超声诊断为颈动脉粥样硬化47例,占5.99%;BaPWV在1300～1400 cm/s的476例中,超声诊断为颈动脉粥样硬化138例,占28.99%;BaPWV在1400～1600 cm/s的637例中,超声诊断为颈动脉粥样硬化385例,占60.44%;BaPWV在1600～1800 cm/s的229例中,超声诊断为颈动脉粥样硬化191例,占83.41%;BaPWV>1800 cm/s的112例中,超声诊断为颈动脉粥样硬化94例,占77.05%。BaPWV与颈动脉粥样硬化呈正相关(χ2=727.56,P=0.0001)。结论 BaPWV与颈动脉粥样硬化有明显的相关性,可作为临床判断血管病变的早期检测手段。
Objective To investigate the relationship between carotid color ultrasonography and brachial-ankle pulse wave velocity（BaPWV） in diagnosis of arteriopathy.Methods Carotid ultrasonography and BaPWV were conducted in 2248 physical check-ups and the results were compared.Results BaPWV was in a range of 1000-1300 cm/s in 784 patients,among whom,47（5.99%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1300-1400 cm/s in 476 patients,among whom,138（28.99%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1400-1600 cm/s in 637 patients,among whom,385（60.44%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1600-1800 cm/s in 229 patients,among whom,191（83.41%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was above 1800 cm/s in 112 patients,among whom,94（77.05%） were diagnosed as having carotid artherosclerosis by ultrasonography.BaPWV was positively related to carotid artherosclerosis（χ2=727.56,P=0.0001）.Conclusion BaPWV is related to carotid artherosclerosis,and can be used in diagnosis of early arteriopathy.
出处
《临床误诊误治》
2011年第9期68-69,共2页
Clinical Misdiagnosis & Mistherapy
关键词
颈动脉疾病
超声检查
多普勒
肱踝脉搏波速度
Carotid disease
Doppler ultrasonography
Brachial-ankle pulse wave velocity
