超声检测颈动脉内中膜厚度在心脑血管疾病中价值探讨.docVIP

超声检测颈动脉内中膜厚度在心脑血管疾病中价值探讨 　　[摘要] 目的 探讨超声检测颈动脉内中膜厚度在心脑血管疾病中的应用价值。 方法 2012年1月～2014年6月我院超声检测颈动脉内中膜厚度共2167例，根据超声检测结果，分为正常组和异常组，统计两组患者心脑血管疾病患病情况。 结果 2167例受检者经超声检测，IMT异常893例（41.21%），其中，内中膜增厚112例（5.17%），粥样硬化斑块674例（31.10%），颈动脉狭窄107例（4.94%），以轻中度狭窄最为常见，IMT正常组中心血管病发病率为4.95%，异常组为35.95%，两组差异具有统计学意义（P0.05）；正常组中脑血管病发病率为3.53%，异常组为26.88%，两组差异具有统计学意义（P0.05）；IMT异常组中高血压和短暂性脑缺血发作（TIA）的发病率分别明显高于其他心脑血管疾病，差异具有统计学意义（x2a=6.569，P0.05；x2b=7.247，P0.05）。 结论 超声检测颈动脉内中膜厚度对心脑血管疾病早期预防、早期诊断、早期干预具有重要意义。 　　[关键词] 超声；颈动脉内中膜厚度；心脑血管 　　[中图分类号] R445.1；R54 [文献标识码] B [文章编号] 2095-0616（2015）11-162-03 　　[Abstract] Objective To discuss the application value of testing carotid intima-media thickness by ultrasound to cardio-cerebro-vascular disease （CCVD）. Methods 2167 cases tested carotid intima-media thickness by ultrasound in our hospital during January 2012 to June 2013 were divided into normal group and abnormal group according to the ultrasound attenuation detecting results. And the prevalence situation of CCVD of patients in the two groups was counted. Results 2167 cases were examined by ultrasound in which 893 （41.21%）peoples IMT were abnormal. Among them， 112 cases （5.17%）had thickening of their internal medial， 674 cases（31.10%） had atherosclerotic plaque， 107 cases（4.94%） were of carotid artery stenosis in which Mild-to-moderate carotid stenosis was the most common. The morbidity of cardiovascular disease was 4.95% in IMT normal group and 35.95% in abnormal group， it showed a significant difference between the two groups （P0.05）. The incidence of cerebrovascular disease was 3.53% in the normal group， which is significantly different from that of 26.88% in the abnormal group （P0.05）. The rate of hypertension and transient cerebral ischemia （TIA） in IMT abnormal group were markedly higher than other CCVD diseases and the difference was statistically significant（x2a=6.569， P0.05； x2b=7.247，P0.05）. Conclusion Testing carotid intima-media thickness by ultrasound is of great significance to cardio-cerebro-v