高频超声检测颈动脉粥样硬化的危险因素分析  

Evaluation of the risk factors for carotid atherosclerosis detected by high frequency ultrasonography

作　　者：张卫[1] 费志强[1] 郭芳[1] 马慧[1] 胡军[1] 

机构地区：[1]山东大学附属省立医院山东省立医院西院影像科,山东济南250022

出　　处：《医学影像学杂志》2009年第6期667-669,共3页Journal of Medical Imaging

摘　　要：目的:分析高频超声检测的颈动脉粥样硬化的危险因素。方法:应用高频超声显像技术检测了294例患者的颈动脉,观察是否有动脉粥样斑块形成,采集动脉粥样硬化的各种危险因素,进行单因素和多因素分析。结果:多元回归分析筛选出五项颈动脉粥样斑块危险因素,按其贡献率大小,依次为男性性别、年龄、收缩压、吸烟指数和高胆固醇血症。单因素分析表明,舒张压、体重指数、家族史比率对颈动脉粥样硬化的发生也具有重要作用。结论:颈动脉粥样硬化的危险因素和已公认的冠状动脉粥样硬化的危险因素基本一致,颈动脉高频超声检测为研究动脉粥样硬化的危险因素、自然病程和治疗效果提供一种无创、准确的新方法。Objective：To analyze the risk factors for carotid atherosclerosis detected by high frequency uhrasonography. Methods： High frequency uhrasonography was firstly employed to measure carotid atherosclerosis in 294 patients. Subsequently, muhivariable and univariable regression analysis were adopted to select the risk factors for carotid atheroselerosis. Results： Muhivariable regression analysis demonstrated that male gender, age, systolic blood pressure, cigarette smoking, and total cholesterol were the major risk factors for carotid atherosclerosis according to their influence on the disease pathogenesis. Univariable analysis showed that diastolic blood pressure, body mass index, and family history were also the important risk factors of carotid athemsclerosis. Conclusion：The risk factors for carotid atheroselerosis are identical to the known risk factors for coronary artery diseases. High frequency uhrasonography offers a non-invasive and accurate approach for evaluation of the risk factors, natural history, and curative effects on carotid atheroselerosis.

关 键 词：颈动脉 高频超声显像 粥样硬化 危险因素 

分 类 号：R543.4[医药卫生—心血管疾病] R445.1[医药卫生—内科学]