超声检查颈动脉的价值研究  

STUDY OF THE VALUE OF CAROTID ULTRASONOGRAPHY

作　　者：谭青[1] 刘磊[1] 林红[1] 李亚民[1] 张慧捷[1] 

机构地区：[1]贵州省贵阳市第一人民医院,贵阳550002

出　　处：《现代预防医学》2010年第21期4196-4197,4199,共3页Modern Preventive Medicine

摘　　要：[目的]研究颈动脉超声的价值,为将超声检查颈动脉纳入常规健康体检项目提供依据。[方法]于2007年3月到2009年10月做超声检查的部分住院患者及健康体检人员行颈动脉超声检查,了解颈动脉粥样硬化的患病情况及相关因素。[结果]1027名受检者,颈动脉硬化总检出率59.69%,其中女性检出率51.59%,男性检出率66.73%,男性高于女性;偏相关分析结果显示,颈动脉粥样硬化与年龄、性别、高血压相关(P=0.000),而与糖尿病(P=0.068)、血脂异常(P=0.087)及高尿酸血症(P=0.078)不相关;颈动脉粥样硬化与冠状动脉粥样硬化性心脏病及缺血性脑梗塞相关(P=0.000)。[结论]超声检查颈动脉不但可用于预测亚临床颈动脉粥样硬化,而且可用于心脑血管的风险预测,有必要将其列为常规健康体检项目。[Objective] To study the value of and provide a theoretical basis for application of carotid ultrasonography in routine physical checkup.[Methods] Inpatients and the people who were given health checkup were undertook carotid ultrasonography to understand the incidence and related factors of carotid atherosclerosis from March 2007 to October 2009.[Results] The total detection rate of carotid atherosclerosis was 59.69% in 1 027 subjects,with female detection rate of 51.59%,male detection rate of 66.73%.Male disease risk was higher than females.Partial correlation analysis showed that,carotid atherosclerosis was correlated with age,sex and hypertension（P = 0.000）,but had no correlation with diabetes（P = 0.068）,dyslipidemia（P = 0.087） and hyperuricemia（P = 0.078）.There was a significant correlation between carotid atherosclerosis and coronary atherosclerotic heart disease,ischemic brain infarction（P = 0.000）.[Conclusion] Carotid ultrasonography can not only be used to predict subclinical atherosclerosis,but also can be used for risk prediction of cardio-cerebral vascular diseases.It is necessary to use carotid ultrasonography as a routine physical checkup.

关 键 词：颈动脉 超声检查 健康体检 

分 类 号：R445.1[医药卫生—影像医学与核医学]