摘要
目的：探讨原发性高血压应用彩色多普勒超声诊断颈动脉粥样硬化的临床价值。方法选取2015年6月至2016年6月原发性高血压患者90例为观察组，另选取同期体检健康者90例为对照组。比较两组相关指标、动脉斑块检出及颈动脉狭窄情况。结果两组血流动力学指标及颈动脉中膜厚度比较，差异有统计学意义（P ＜0.05或 P ＜0.01）。观察组颈动脉斑块检出率为86.67％（78/90），对照组为15.56％（14/90）；观察组颈动脉狭窄检出率为83.33％（75/90），对照组为14.44％（13/90）；两组比较差异均有统计学意义（χ2＝91.0672、85.4644，P ＜0.01）。结论彩色多普勒超声可识别颈动脉粥样硬化的发生位置、斑块性质，能有效评估血管的狭窄程度和血流动力学情况，具有临床应用价值。
Objective To investigate the diagnosis value of color Doppler ultrasound on hypertensionpatients with carotid artherosclerosis. Methods Ninety patients with hypertensionand were selected from June 2015 to June 2016 as the observation group,another 90 cases of healthy in the same period were chosen as the control group. Indicators,plaque detection and carotid artery stenosis were compared between the two groups. Results The hemodynamics and carotid IMT of the two groups were compared,the differences were significant（P 〈 0. 05 or P 〈 0. 01）. The carotid artery plaque detection rate of the observation group was 86. 67%（78 / 90）,which of the control group was 15. 56%（14 / 90）, the carotid stenosis detection rate of the observation group was 83. 33%（75 / 90）,which of the control group was 14. 44%（13 / 90）,the differences were significant（χ2 = 91. 0672,85. 4644,P 〈 0. 01）. Conclusions Color Doppler ultrasound can accurately identify primary position and the character of plaque of carotid atherosclerosis, and is able to effectively assess the vascular stenosis and hemodynamics,so it has clinical application value.
出处
《中国实用医刊》
2017年第3期98-100,共3页
Chinese Journal of Practical Medicine
