摘要
目的:探讨超声观察颈动脉内中膜厚度与斑块诊断冠状动脉粥样硬化性心脏病的有效性。方法:选取2019年3月—2021年3月阳谷县人民医院超声科收治的冠状动脉粥样硬化性心脏病患者50例为观察组,同时纳入同期收治的健康体检者50名设为对照组,对比两组的颈动脉内中膜厚度、斑块发生率、斑块性质、狭窄程度及血脂检验指标。结果:观察组颈动脉内中膜厚度为(1.42±0.13) mm,显著大于对照组的(0.83±0.22) mm (P<0.05);观察组斑块发生率为34.00%,显著高于对照组的4.00%(P<0.05)。单支血管病变占比最高,与双支血管病变、多支血管病变比较差异均有统计学意义(P<0.05)。混合型斑块的发生率显著高于软斑块(P<0.05),混合型斑块的发生率高于硬斑块、钙化斑块但差异无统计学意义(P> 0.05)。轻度狭窄与中度狭窄、重度狭窄的发生率比较均具显著差异(P<0.05)。两组的总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇水平比较,差异无统计学意义(P>0.05);观察组血糖与甘油三酯水平均显著高于对照组(P<0.05)。结论:超声颈动脉内中膜厚度与斑块能够全面反映冠状动脉粥样硬化性心脏病的发生情况与病情严重程度,能提高诊断冠状动脉粥样硬化性心脏病的准确性,对疾病的诊断具有一定的参考价值。
Objective To investigate the effectiveness of ultrasound observation of carotid intima-media thickness and plaque in the diagnosis of coronary atherosclerotic heart disease.Methods 50 patients with coronary atherosclerotic heart disease admitted to Yanggu County People’s Hospital from March 2019 to March 2021 were selected as the observation group.At the same time 50 cases of healthy physical examination during the same period were selected as control group.Those were compared two groups of the incidence of carotid intima-media thickness,plaque,plaque properties,degree of stenosis and blood lipids index.Results The carotid intima-media thickness in the observation group was(1.42±0.13) mm,which was significantly higher than that in the control group(0.83±0.22) mm(P <0.05);The incidence of plaque in observation group was 34.00%,which was significantly higher than that in control group(4.00%)(P <0.05).The proportion of single-vessel lesions was the highest,with statistical significance compared with double-vessel lesions and multi-vessel lesions(P <0.05).The incidence of mixed plaque was signficantly higher than that of soft plaque(P <0.05),and the incidence of mixed plaque was higher than that of hard plaque and calcified plaque,but the difference was not statistically significant(P> 0.05).There were significant differences in the incidence of mild stenosis,moderate stenosis and severe stenosis(P<0.05).There were no significant differences in levels of total cholesterol,high density lipoprotein cholesterol and low density lipoprotein cholesterol between the two groups(P> 0.05).The levels of blood glucose and triglyceride in the observation group were significantly higher than those in the control group(P <0.05).Conclusion The carotid artery intima-media thickness and plaque can fully reflect the occurrence of coronary atherosclerotic heart disease in ultrasonic cervical arteries,and improve the accuracy of diagnosis of coronary atherosclerosis.
作者
何伟波
HE Weibo(Department of Ultrasound,Yanggu County People's Hospital,Liaocheng,Shandong 252300,China)
出处
《影像研究与医学应用》
2022年第8期22-24,共3页
Journal of Imaging Research and Medical Applications
关键词
超声颈动脉内中膜厚度
斑块
冠状动脉粥样硬化性心脏病
Ultrasound carotid artery intima-media thickness
Plaque
Coronary atherosclerotic heart disease
