冠心病患者行颈动脉彩色多普勒超声检测动脉粥样硬化临床意义观察.docVIP

冠心病患者行颈动脉彩色多普勒超声检测动脉粥样硬化临床意义观察 　　【摘要】 目的：探讨观察冠心病患者行颈动脉彩色多普勒超生检测动脉粥样硬化临床意义。方法：选择2012年9月-2014年10月笔者所在医院确诊的90例冠心病患者作为研究对象作为试验组，另外选择同期来笔者所在医院体检的结果健康的正常人90例作为对照组，使用彩色多普勒超声仪对所有研究对象进行检查，并详细记录斑块情况，进行严重程度研究，依此进行相关性研究。结果：试验组颈动脉粥样斑块严重程度、斑块检出例数及阳性检出率明显高于健康人的对照组；试验组颈动脉粥样斑块检出71例，检查率为78.9%，对照组颈动脉粥样斑块检出25例，检查率为27.8%。结论：超声检测颈动脉粥样硬化与冠心病有着密切的相关性，可以作为冠状动脉粥样硬化性心脏病早期诊断及预防的重要手段，值得推广。 　　【关键词】 超声检测； 冠心病； 颈动脉粥样硬化； 相关性 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2015）30-0045-02 　　【Abstract】 Objective：To investigate the clinical significance observation of carotid artery color doppler ultrasonic detection for carotid atherosclerosis for coronary heart disease patients.Method：90 patients with coronary heart disease in our hospital from September 2012 to October 2014 were selected as the research objects（the experimental group） and 90 healthy subjects in our hospital were selected as the control group ，all the research objects were detected by color ultrasound.The carotid artery intima-media thickness（IMT） was recorded，and plaque detectable rate were calculated，severity of plaque was evaluated，the results were compared and analyzed.Result：The IMT and plaque detectable rate and severity of plaque in the experimental group were better than those of the control group（P0.05）.71 cases with carotid atherosclerosis were detected in the experimental group， the checking rate was 78.9%，while 25 cases with carotid atherosclerosis were detected in the control group ， the checking rate was 27.8%.Conclusion：There is a correlation between color doppler ultrasonic detection the carotid artery atherosclerosis and coronary heart disease，can become the important means of early diagnosis and prevention the coronary atherosclerotic heart disease，and it is worth promoting. 　　【Key words】 Ultrasonic detection； Coronary heart disease； Carotid atherosclerosis； Correlation 　　First-author’s address：The Third People’s Hospital of Hefei，Hefei 230022，China 　　doi：10.14033/j.cnki.cfmr.2015.30.022 　　冠心病是心内科最常见的一种疾病，具有较高的患病