摘要
目的分析慢性脑缺血与急性脑梗死患者颈动脉病变的超声检查差异性。方法选取2018年2月至2021年3月本院收治的41例慢性脑缺血患者作为慢性脑缺血组,另选取同期41例急性脑梗死患者作为急性脑梗死组。两组均行超声检查,比较两组临床资料、血流频谱参数、颈总动脉内膜中层厚度及斑块检出情况。结果两组性别、年龄、吸烟史、饮酒史及血清血糖、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)水平比较差异无统计学意义。两组左颈总动脉、右颈总动脉、右颈内动脉收缩期峰值流速、舒张期峰值流速、阻力指数(RI)及左颈内动脉收缩期峰值流速、舒张期峰值流速比较差异无统计学意义;急性脑梗死组左颈总动脉、右颈内动脉及右颈总动脉RI均高于慢性脑出血组,差异有统计学意义(P<0.05)。两组左颈总动脉内膜中层厚度、右颈总动脉内膜中层厚度比较差异无统计学意义;急性脑梗死组斑块检出率高于慢性脑缺血组,差异有统计学意义(P<0.05)。结论与慢性脑缺血患者比较,急性脑梗死患者颈动脉血流RI更高,更易发生斑块,临床应及时干预,降低急性脑梗死发生风险。
Objective To analyze the difference of ultrasound examination of carotid artery disease between chronic cerebral ischemia and acute cerebral infarction.Methods 41 patients with chronic cerebral ischemia admitted to our hospital from February 2018 to March 2021 were selected as the chronic cerebral ischemia group,and another 41 patients with acute cerebral infarction during the same period were selected as the acute cerebral infarction group.Ultrasound examination was performed in two groups,the clinical data,blood flow spectrum parameters,common carotid artery intima-media thickness and plaque detection were compared between the two groups.Results There was no significant difference in gender,age,smoking history,drinking history and serum blood glucose,total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL)and high density lipoprotein(HDL)levels between the two groups.The systolic peak velocity,diastolic peak velocity,resistance index(RI),systolic peak velocity and diastolic peak velocity of left internal carotid artery,right common carotid artery and right internal carotid artery were not significantly different between the two groups;the RI of left common carotid artery,right internal carotid artery and right common carotid artery in the acute cerebral infarction group were higher than those in the chronic cerebral hemorrhage group,and the differences were statistically significant(P<0.05).Intimamedia thickness of left common carotid artery and intima-media thickness of right common carotid artery were not significantly different between the two groups.The plaque detection rate in acute cerebral infarction group was higher than that in chronic cerebral ischemia group,and the difference was statistically significant(P<0.05).Conclusion Compared with patients with chronic cerebral ischemia,patients with acute cerebral infarction have higher carotid blood flow RI and are more prone to plaque,clinical intervention should be timely to reduce the risk of acute cerebral infarction.
作者
肖时雨
杨昭
李薇
李慧
XIAO Shiyu;YANG Zhao;LI Wei;LI Hui(Department of Physical Diagnosis,Pingxiang People's Hospital,Pingxiang,Jiangxi,337000,China)
出处
《当代医学》
2023年第13期132-134,共3页
Contemporary Medicine
关键词
慢性脑缺血
急性脑梗死
超声
颈动脉病变
Chronic cerebral ischemia
Acute cerebral infarction
Ultrasound
Carotid artery disease
