摘要
目的探讨多普勒超声在不同年龄段急性心肌梗死患者颈动脉粥样硬化评估中的应用效果。方法选取医院2017年2月至2018年11月接受检查的急性心肌梗死患者130例,根据不同年龄段分为A组、B组、C组,A组30例年龄小于70岁,B组60例年龄70~80岁,C组40例年龄大于80岁。所有患者均接受多普勒超声检查,分析其应用价值。结果B组、C组颈动脉粥样硬化患者比例明显高于A组,B组和C组患者的斑块数≥3个、斑块厚度≥0.19 cm和稳定斑块的比例明显高于A组(P<0.05);B组、C组颈动脉重度狭窄患者比例明显高于A组(P<0.05)。结论多普勒超声在不同年龄段急性心肌梗死患者颈动脉粥样硬化评估中的应用价值高,可准确评估多数老年患者急性心肌梗死的颈动脉为轻度狭窄或不狭窄,多呈现不稳定斑块。超声评估特征主要通过斑块的数量和狭窄程度,要加强急性心肌梗死患者颈动脉不稳定斑块的早期积极干预。
Objective To investigate the effect of Doppler ultrasound in the evaluation of carotid atherosclerosis in patients with acute myocardial infarction of different ages.Methods From February 2017 to November 2018,130 patients with acute myocardial infarction were selected and divided into group A,group B and group C according to different age groups.30 patients in group A were less than 70 years old,60 patients in group B were 70-80 years old,and 40 patients in group C were more than 80 years old.All patients were examined by Doppler ultrasound,and its application value was analyzed.Results The proportion of carotid atherosclerotic patients in group B and C was significantly higher than that in group A,the number of plaques≥3,the thickness of plaques≥0.19 cm and the proportion of stable plaques in group B and C were significantly higher than that in group A(P<0.05),and the proportion of patients with severe carotid stenosis in group B and C was significantly higher than that in group A(P<0.05).Conclusion The application value of Doppler ultrasound in the evaluation of carotid atherosclerosis in patients with acute myocardial infarction of different ages is high.It can accurately evaluate the carotid artery of most elderly patients with acute myocardial infarction as mild stenosis or non-stenosis,and most of them present unstable plaque.The characteristics of ultrasonic evaluation are mainly through the number and degree of plaque stenosis.It is necessary to strengthen the early active intervention of carotid unstable plaque in patients with acute myocardial infarction.
出处
《中国药业》
CAS
2019年第S01期114-115,共2页
China Pharmaceuticals
关键词
多普勒超声
不同年龄段
急性心肌梗死
颈动脉粥样硬化
应用价值
Doppler ultrasound
different age groups
acute myocardial infarction
carotid atherosclerosis
application value
