摘要
目的探讨颈动脉超声检查动脉粥样硬化的临床意义。方法随机选取2014年12月—2016年12月于该院行颈动脉超声检查的90例患者为研究对象,根据临床诊断疾病类型不同分为实验A组(脑梗死41例)、实验B组(短暂性脑缺血发作27例)和实验C组(高危缺血性脑血管病22例),另择取同期于该院行健康检查的30名志愿者为对照组。对比观察各组颈动脉内膜中层增厚情况及斑块形成情况。结果实验A组斑块形成率(58.5%)和颈动脉血管异常率(85.4%)均高于实验B组、C组及对照组(P<0.05);实验A组硬斑(37.0%)、溃疡斑(18.5%)构成比与其他3组比较差异有统计学意义(P<0.05)。结论颈动脉超声检查是诊断动脉粥样硬化病变的有效方法,能够为临床诊断缺血性脑病提供有价值的参考,值得临床推广使用。
Objective To study the clinical significance of carotid artery ultrasound examination for atherosclerosis. Methods 90 cases of patients with carotid artery ultrasound examination in our hospital from December 2014 to December 2016 were selected as the research objects and divided into the experimental A group（ 41 cases with cerebral infarction）, the experimental B group（27 cases with transient cerebral ischemia） and experimental C group（22 cases with high-risk ischemic cerebral vascular disease according to different clinical diagnosis disease types, and 30 cases of volunteers for healthy examination in our hospital at the same period were selected as the control group, and the carotid intima-media thickness and formation of plaque in each group were compared and observed. Results The plaque formation rate（58.5%）and abnormal rate of carotid artery（85.4%） in the experimental A group were higher than those in the experimental B group, experimental C group and the control group（P〈0.05）, and the morphea and ulcer plaque in the experimental A group were respectively 37.0% and 18.5%, and the differences between the four groups were statistically significant（P〈0.05.05）. Conclusion The carotid artery ultrasound examination is an effective method in diagnosis of atherosclerosis, which can provide valuable reference for the clinical diagnosis of ischemic encephalopathy, which is worth clinical promotion and application.
出处
《中外医疗》
2017年第9期187-189,共3页
China & Foreign Medical Treatment
关键词
动脉粥样硬化
颈动脉超声
斑块
Atherosclerosis
Carotid artery ultrasound
Plaque
