超声检测不同部位颈动脉内中膜厚度在心脑血管疾病诊断中应用价值.docVIP

超声检测不同部位颈动脉内中膜厚度在心脑血管疾病诊断中应用价值 　　[摘要] 目的 探讨超声测量不同部位颈动脉内中膜厚度在心脑血管疾病诊断中的临床价值。 方法 选取2013年11月～2014年6月在本院就诊的144例高血压病、冠心病、脑梗死（合并糖尿病）患者作为研究对象，另选取22例正常者作为对照组。所有研究对象均行双侧颈动脉彩色多普勒超声检测，比较不同组别颈动脉内中膜厚度的差异。 结果 144例心脑血管疾病患者中，50.69%的患者检出颈动脉内中膜结构异常病变，其中高血压合并冠心病者的检出率较高，为63.33%。疾病组的颈动脉内中膜厚度值高于对照组，差异有统计学意义（P0.05）。 结论 超声检测颈动脉内中膜厚度可为心脑血管疾病的临床诊断治疗提供依据。 　　[关键词] 颈动脉内中膜厚度；超声检查；心脑血管疾病 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0055-03 　　[Abstract] Objective To explore the clinical value of ultrasonic detection in the carotid intima-media thickness of different parts in the diagnosis of cardiovascular and cerebrovascular disease. Methods 144 cases with hypertension，coronary heart disease，cerebral infarction （complicated with diabetes） in our hospital from November 2013 to June 2014 were selected as research subjects，and 22 normal persons were selected as the control group.All people were given color Doppler ultrasonography of bilateral carotid artery，the difference of carotid intima-media thickness of carotid artery in different groups was compared. Results 144 cases of patients with cardiovascular and cerebrovascular diseases，50.69% of the patients were detected carotid artery intima-media structure abnormalities，and the detection rate of hypertension complicated with coronary heart disease was higher，which was 63.33%.The value of carotid intima-media thickness in the patients group was higher than that in the control group，with significant difference （P0.05）. Conclusion Carotid intima-media thickness can provide the basis for clinical diagnosis and treatment of cardiovascular and cerebrovascular disease. 　　[Key words] Carotid intima-media thickness；Ultrasonic detection；Cardiovascular and cerebrovascular disease 　　心脑血管疾病严重影响人类的健康，血管壁结构病变及其发生、发展所致的血管狭窄、阻塞是心脑血管疾病发生的基础[1]。颈动脉粥样硬化在一定程度上反映了全身动脉硬化的情况，且浅表易检测，但血管壁的增厚、斑块形成和管腔狭窄通常是弥漫性改变，单纯测量某一部位的内中膜厚度不能全面反映其血管病变程度[2-3]。本研究通过分析心脑血管疾病患者的颈动脉超声结果，进一步探讨不同部位颈动脉内中膜厚度（carotid intima-media thickness，CIMT）在心脑血管疾病诊断中的应用价值。 　　1 资料与方法 　　1.1 一般资料