高血压患者颈动脉粥样硬化超声评价与分析  

Evaluation between Hypertension and Carotid Arthrosclerosis by Color Doppler Sonography

作　　者：刘安全[1] 许永强[2] 李科民[1] 孙红军[1] 梅廷方[1] 

机构地区：[1]安徽省蚌埠市第一人民医院心内科,233000 [2]安徽省蚌埠市第一人民医院超声科,233000

出　　处：《中国中医药现代远程教育》2010年第20期109-110,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨高血压患者颈动脉内中膜厚度及斑块形成的意义。方法使用彩色多普勒高频探头（11MHz）,对62例高血压病患者和50例健康人常规检测双侧颈动脉,观察其颈动脉内中膜厚度及有无斑块形成的情况。结果 62例高血压患者颈动脉内中膜厚度（IMT）1.03±0.26mm,42例有不同程度的斑块形成。50例健康人IMT0.75±0.24mm,9例有不同程度的斑块形成。病变发生部位多在颈动脉分叉处,其次为两侧颈总动脉,颈内动脉起始段。结论高血压病组的颈动脉粥样硬化,斑块发生率明显高于健康组。超声检测高血压病患者颈动脉内一中膜厚度及斑块性质,有利于动脉粥样硬化的预防,治疗及判断预后。超声检查能早期发现颈动脉粥样硬化,安全、无创,有一定的临床价值。Objective To evaluate the relationship between hypertention and carotid artheroclerosis by color Doppler sonography. Methods Color Doppler ultrasonography of carotid arteries were used to examine in 62 cases with hypertension and 22 cases of healthy subject as control group. Results Intina-media thickness（IMT）in hypertension group was significantly thicker and arterial plaque was also higher than that in control group. Conclusion Carotid atherosclerosis is significantly correlated to hypertension and is helpful to monitor the progression and prognosis of hypertension Color Doppler ultrasonography is valuable in diagnosis and helpful in prevention , therapy, monitoring prognosis of carotid artery atherosclerosis in patients with hypertension.

关 键 词：高血压病 颈动脉粥样硬化 彩色多普勒 

分 类 号：R544.1[医药卫生—心血管疾病] R743[医药卫生—内科学]