老年高血压患者颈动脉超声分析  

Study of ultrasound examination on carotid arteries of the old patients with hypertension

作　　者：康素玲[1] 王倩[1] 刘莹[1] 

机构地区：[1]河南焦作市人民医院,焦作454002

出　　处：《中国实用神经疾病杂志》2008年第8期29-30,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析老年高血压患者颈动脉粥样硬化发生、发展的特点。方法对120例老年高血压患者和50例老年健康体检者进行颈动脉彩色多普勒超声检查,测量颈动脉内膜-中层厚度(ITM)并观察斑块发生情况,将高血压患者分为Ⅰ级组、Ⅱ级组、Ⅲ级组进行比较。结果老年高血压组较对照组颈动脉ITM明显增厚、斑块检出率明显增高,3组间颈动脉ITM增厚程度及斑块检出率有显著性差异,斑块多发生于颈动脉分叉处、颈内动脉起始处。结论高血压与颈动脉粥样硬化密切相关,彩色多普勒超声可以直观地了解颈动脉粥样硬化的病变情况,是早期发现和筛选心脑血管疾病高危患者的重要手段。Objective To study the ultrasonic characteristics of carotid artery atherosclerosis in the old patients with hypertension. Methods The carotid arteries were examined in 120 old hypertension patients and 50 controls by color Doppler ultrasound. The carotid artery intima-media thickness（IMT） and plaques were assessed. The patients with hypertension were divided into group I ,groupⅡ and groupⅢ. Results The carotid artery IMT were apparently thick in old patients with hypertension. And the incidence rate of plaque was increased. There were significant differences of the thicker degree of IMT and incidence rate of plaque a- mong group I ,group ]I and groupllI. The plaques usually occurred on the fork part of common carotid artery and the initial part of internal carotid artery. Conclusion Hypertension is closely related with carotid atherosclerosis. It is convenient to explore the degree of carotid atherosclerosis through color Doppler ultrasound. Color Doppler ultrasound is essential method for early discovery and screening of high-risk patients with cardio-cerebrovascular disease.

关 键 词：颈动脉超声 老年 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]