彩色多普勒超声检查颈动脉IMT及斑块在老年缺血性脑卒中患者中的应用价值.docVIP

彩色多普勒超声检查颈动脉IMT及斑块在老年缺血性脑卒中患者中的应用价值 ［ ］H的彩色多普勒超?检查颈动脉IMT及斑块在老年缺血性 脑卒中患者中的应用价值。方法本研宄选取2015年7月?2016 年12月河北省承德市宽城满族自治县医院收治的64例首发缺血性脑 卒中老年患者作为观察组，并选择同期64例门诊健康老年体检者为对 照组。测量血管内径、内-中膜厚度（IMT），记录斑块部位、范围、数 量及管腔狭窄情况，并进行两组间比较。结果观察组双侧颈总动脉、 颈动脉球部、颈内动脉的IMT均明显厚于对照组（P〈0.05）。对照组同 部位左右两侧IMT无明显差异（P〉0. 05），而观察组左侧IMT均明显厚 于右侧同部位IMT，差异显著有统计学意义（t颈总=5. 18, P〈0. 05; t 球部=5. 43, P0. 05； t颈内=5. 86, P0. 05）。与对照组比较,观察组 IMT增厚、斑块及管腔狭窄发生率均明显增加（84. 38%vs33. 13%、 79. 68%vsl4. 06%、33. 13%vsl0. 94%）,差异有统计学意义（P〈0. 05）。 随着年龄的增长，管腔狭窄比例明显升高，差异有统计学意义（X 2-8. 17, P〈0.05）。结论彩色多普勒超声检查具有无创、可重复性的 优势，能够清楚的显示颈动脉中的斑块位置以及范围，对于高龄忠者 发生缺血性脑卒中发生的防控具存秉要的意义。 ，供学习和研宄 使用， 和著作权归原 所有， 己 ［关键词］彩色多普勒超声；颈动脉；内-中膜厚度；斑块；缺血性 脑卒中 ［中阁分类号］R743.3 ［ ］A ［ ］2095-0616 (2017) 09-236-03 The clinical value of I MT and plaques of carotid artery by color Doppler ultrasonography in elderly patients with ischemic stroke SHEN Jing Ultrasonography Department, Kuancheng County Hospital, Chcngdc, Kuancheng 067600， China ［Abstract］ Objective To evaluate the value of I MT and plaques of carotid artery by color Doppler ultrasonography in elderly patients with ischemic stroke. Methods 64 elderly patients with ischemic stroke were selected as the observation group, who were in Ultrasonography Department of Kuancheng county hospita from July 2015 to December 2016. At the same time, 64 heal thy elderly outpatients were enrol led as control group. Blood vessel diameter, Intima media thickness (I MT) were measured, and the location, range, number and stenosis of the plaque were recorded. 2 groups were compared. Results The IMT of bilateral common carotid artery, carotid bulb and internal carotid artery in the observation group were significantly thicker than those in the control group (P〈0. 05) . There was no significant difference in I MT between the left and right sides of the same site in the control group (P0. 05) . The left I MT of the observation group were significantly thicker than the right side of the same site IMT , the difference was statistica