彩色超声监测颈动脉软斑临床治疗分析  

Clinical analysis of cervical artery (soft blot) via monitoring color B-ultra sound

作　　者：赵娜萍[1] 王杏儒[1] 

机构地区：[1]石家庄市中心医院神经内科,050011

出　　处：《脑与神经疾病杂志》2006年第3期215-217,共3页Journal of Brain and Nervous Diseases

摘　　要：目的:研究探讨颈动脉低回声,不均质回声斑块,通过治疗溶解血栓,稳定斑块,减少卒中TIA的发生。方法:对于存在脑血管危险因素的病人应用彩色多普勒超声用面积测量法监测颈动脉有不同程度的狭窄及斑块形成208 例病人,其中低回声、不均质回声斑块47例,随机分为A、B两组,A组病人治疗选用溶栓、抗凝、降脂;B组病人选用抗凝、降脂。两组病人同时用复方丹参、胞二磷胆碱治疗14天后,采用双盲法复查颈动脉超声,观察颈动脉狭窄及斑块的变化。结论:A组:25例病人治疗后,颈动脉超声15例无变化。管腔狭窄率减少≥10％～15％的7例,减少>15％的3 例,再闭塞1例,有效率40％。B组:22例病人治疗后管腔狭窄率减少≥10％～15％的3例,有效率13．6％,A组结果优于B组,经X2检验:P<0．05。Objective： researching cervical artery low rebound blot and treating and resolving hemolysis stable blot,decreasing occurrence of stroke and T1A. Methods： 208 patients who were tendency to cerebral vessel disease of which artery stenosis and blot forming in some degree,47 patients who were low rebound. Non-eqnt density was divided in two groups in random, one group were treated with method of resolving hem lysis, anti-congulation and decreasing level of blood fatty; the other group treating with anti-congulation, decreasing blood fatty level. Injeetion of compownd Dan shen and Injeetion of citicoline sodium, were used in two groupo for 14 days. We found the changes of arteny stenosis and blot via cervical artery ultrasound by double-blind method. Conclusion： A group：15patients of 25 had no changes after trenting stenosis rate of decreasing ves sel cavity on more then. 10-15 per cent,3patients more than 15 percent, blouel ressel shut again 1 cases, affective rate percent 40. Bgroup：stenosis rate were10-15 per cent that is,3 patients of 22 after treating affective rate were percent 13.6. There was a significant difference between group A and B with A group was better than B grout）. （chi-squere P〈0.05）

关 键 词：彩色超声多普勒 颈动脉软斑 溶栓 临床治疗 

分 类 号：R743.9[医药卫生—神经病学与精神病学]