摘要
目的:探究心脏彩超检测心脏瓣膜病钙化患者颈动脉内膜中层厚度、管腔狭窄程度与颈动脉粥状硬化的关系。方法:选取2019年11月-2020年11月济宁市兖州区中医医院接诊的老年钙化性心脏瓣膜病合并颈动脉粥样硬化患者40例作为试验组,选取同期单纯颈动脉粥样硬化患者40例作为对照组。对两组患者均进行心脏及颈动脉彩超检查,测量与评估患者瓣膜厚度、颈动脉内膜中层厚度以及狭窄程度,并对颈动脉内膜中层厚度及狭窄程度与瓣膜厚度进行相关性分析。结果:经检查发现,试验组患者的瓣膜厚度、颈动脉内膜中层厚度以及狭窄程度均显著高于对照组患者,且差异均具有统计学意义(t=8.522、6.352、15.343,均P<0.05)。Speaman相关性分析结果显示,瓣膜厚度与颈动脉内膜中层厚度(r=0.630,P<0.05)和管腔狭窄程度(r=0.639,P<0.05)存在正相关;患者颈动脉内膜中层厚度、管腔狭窄程度是老年钙化性心脏瓣膜病的独立危险因素(P<0.05)。结论:颈动脉粥样硬化可能是导致老年钙化性心脏瓣膜病的重要因素之一,而颈动脉内膜中层厚度和管腔狭窄程度可以作为老年钙化性心脏瓣膜病的早期诊断指标。
Objective:To investigate the relationship between carotid intima-media thickness,lumen stenosis and carotid atherosclerosis in patients with cardiac valvular disease calcification detected by color Doppler echocardiography.Methods:From November 2019 to November 2020,40 elderly patients with calcified heart valvular disease complicated with carotid atherosclerosis admitted to Yanzhou District Hospital of Traditional Chinese Medicine were selected as the experimental group,and 40 patients with simple carotid atherosclerosis during the same period were selected as the control group.Color Doppler ultrasonography was performed on the heart and carotid artery in both groups.The thickness of the valve,the thickness of the carotid intima media and the stenosis degree were measured and evaluated,and the correlation between the thickness of the carotid intima media and the stenosis degree and the valve thickness was analyzed.Results:It was found that the valve thickness,carotid intima thickness and stenosis degree in the experimental group were significantly higher than those in the control group,and the differences were statistically significant(t=8.522,6.352,15.343,P<0.05).Speaman correlation analysis showed that valve thickness was positively correlated with carotid intima-media thickness(r=0.630,P<0.05)and stenosis degree(r=0.639,P<0.05).IMT and lumen stenosis were independent risk factors for senile calcified valvular heart disease(P<0.05).Conclusion:Carotid atherosclerosis may be one of the important factors leading to calcified heart valvular disease in the elderly,and the thickness of carotid intima media and the degree of lumen stenosis can be used as early diagnostic indicators of calcified heart valvular disease in the elderly.
作者
张勇
贺忠娟
ZHANG Yong;HE Zhongjuan
出处
《中医临床研究》
2022年第12期21-23,共3页
Clinical Journal Of Chinese Medicine
关键词
心脏彩超
心脏瓣膜病钙化
颈动脉
粥状硬化
Cardiac color ultrasound
Calcification of valvular heart disease
Carotid artery
Carotid atherosclerosis
