彩色多普勒超声检查高脂血症患者颈动脉意义.docVIP

彩色多普勒超声检查高脂血症患者颈动脉意义[摘要]目的探讨彩色多普勒超声对高脂血症患者颈动脉内膜-中膜厚度及斑块检查的临床意义。方法对30例年龄在50-60岁的血脂增高2年以上患者及30例年龄在50-60岁的血脂正常的健康者的颈动脉进行彩色多普勒超声检查,并对其结果进行相关性分析。结果高脂血症组出现内膜毛糙、增厚和血管轻度狭窄的例数明显多于健康者组,斑块的发生率及斑块的面积也相对较大。结论血脂增高与动脉硬化的发生率呈正相关,对高脂血症患者定期进行颈动脉高频彩色多普勒超声检查,对指导患者的治疗,预防脑血管病具有重要意义。 [关键词]高脂血症; 颈动脉; 彩色多普勒超声 [中图分类号] R445.1[文献标识码]A [文章编号] 1005-0515(2010)-10-003-02 TheValueofColorDopplerUltrasoundinDetectingtheCarotidArteryinHyperlipidemicSubjects Xing JunPing (Ultrasound Department,Chinese Medicine Hospital of XuZhou City) [Abstract]ObjectiveTo explore the value of Color Doppler Ultrasound in measuring the intimal-medial thickness(IMT) and detecting the development of plague of carotid artery in hyperlipidemic subjects.Methods Color Dopple Ultrasound examination was performed on 30 cases of hyperlipidemia and 30 normal persons to measure the IMT and detect the development of plague of carotid artery.The results of the two groups were compared.Results The IMT of carotid artery was thicker in hyperlipidemic patients than in normal subjects.The forming rate of plague was also higher in hyperlipidemic patients.An excellent correlation was found between the formation of plague and the level of hyperlipidemia.Conclusions Color Dopple Ultrasound can be used to measure the IMT and observe the development of plague of carotid artery.So it is importent to prevent the development of arthrosclerosis,coronary heart diseasea and so on. [Keywords] Color Dopple Ultrasound; Hyperlipidemia; CarotidArter 应用彩色多普勒超声测量外周动脉管壁的内膜-中膜厚度(即IMT),评价动脉粥样硬化的发病情况,已成为对动脉硬化性疾病防治预测的思想选择。且随着人民生活水平的提高,高脂血症患者越来越多,为进一步探讨高脂血症对颈动脉粥样硬化斑块形成的影响,我们收集了30例年龄在50-60岁的血脂增高2年以上患者颈动脉彩色多普勒超声检查的资料以及30例年龄在50-60岁的血脂正常的健康者的颈动脉彩色多普勒超声检查资料,并进行对比分析,旨在了解高血脂对颈动脉的影响及彩色多普勒超声检查的意义。 1 材料与方法 1.1研究对象2007-2009期间,30例年龄在50-60岁的高血脂患者,血脂增高2年以上,其中男性18例,女性12例,平均年龄为55.6岁;30例年龄在50-60岁的血脂正常的健康者,其中男性19例,女性11例,平均年龄56.7岁。两组基础资料对比未见明显差异,无统计学意义。另外,两组人员均经检查排除合并高血压病、糖尿病、冠心病等疾患。高血脂的标准为总胆固醇5.72mmol/l和/或甘油三脂1.70mmol/l。 1.2仪器和方法使用飞利浦iE33或西门子G50彩色