经颈动脉超声诊断肥胖青少年早期动脉粥样硬化的探讨  

The discussion of carotid artery ultrasound in diagnosing early atherosclerosis in obese adolescents

作　　者：满永贤[1] 郑琳琳[1] 郭俊岩[1] 杨萍 张晓康[1] 陈丽[1] 许敏 谢春芳 

机构地区：[1]辽东学院医学院,辽宁丹东118000 [2]丹东市第一医院,辽宁丹东118002

出　　处：《中国实用儿科杂志》2007年第6期437-438,共2页Chinese Journal of Practical Pediatrics

基　　金：丹东市科学技术计划项目(编号2005-05601)

摘　　要：目的探讨经颈动脉超声早期诊断肥胖青少年动脉粥样硬化价值。方法于2006-07在丹东市中学随机抽取47例中、重度单纯性肥胖青少年并与36例正常青少年作对照,分别进行颈部血管超声检查。结果肥胖组动脉内膜呈现不同程度的毛糙、不光滑、连续性差、限局性增厚,颈总动脉内膜中层厚度(IMT)明显高于对照组(P<0.05),肥胖组颈总动脉早期硬化的改变与肥胖程度正相关(P<0.05)。结论青少年单纯性肥胖可以并发动脉粥样硬化,经颈总动脉超声检查可作为早期诊断动脉粥样硬化首选方法。Objective To discuss carotid artery ultrasound method to diagnose early atherosclerosis of obese adolescents. Methods Choose 47 moderate and severe obese adolescents and 36 natural adolescents randomly in Dandong city in July 2006, and they were checked in carotid artery with ultrasound. Results In obese adolescents, the internal membranes were rough and unslick, with bad continuity and locational incrassation. The thickness of internal membrane （ IMT） in common carotid artery was higher in obese adolescents than in natural ones （ P 〈 0. 05 ） , and the early atherosclerosis change of common carotid artery had positive correlation with obese degree （ P 〈 0. 05 ）. Conclusion Obese adolescents may subsequently have atherosclerosis,and carotid artery ultrasound can be a preferred method to diagnose atherosclerosis.

关 键 词：肥胖 青少年 超声 动脉内膜中层厚度 动脉内径 峰值流速 

分 类 号：R72[医药卫生—儿科]