颈动脉超声在飞行员心血管病鉴定中的应用  

Application of Carotid Ultrasonography in Identification of Cardiovascular Disease in Pilots

作　　者：徐占民[1] 

机构地区：[1]中国民用航空局民用航空医学中心鉴定所,北京市100123

出　　处：《职业与健康》2011年第8期923-925,共3页Occupation and Health

摘　　要：评估冠状动脉危险性通常是利用预测心血管危险因素的弗雷明汉危险积分。颈动脉超声检测颈动脉内中膜厚度(C IMT)可被用来评估冠状动脉粥样硬化的存在。检测C IMT可以修正通过弗雷明汉危险积分评估的冠状动脉危险性。多数临床试验证实C IMT可以作为动脉粥样硬化病变的预测因子。该文综述C IMT相关文献,明确C IMT在筛选冠心病中的价值,C IMT对中等危险的人群重新评价意义重大。对60岁以上的飞行员来说,超声检测C IMT可作为常规检查。Coronary risk assessment is usually based on Framingham risk score that ie used to forecast the cardiovascular risk factors.Carotid intima-media thickness（CIMT） measured by carotid ultrasonography can be applied to assess the coronary atherosclerosis.CIMT measurement can revise the cardiovascular risk which is assessed by Framingham risk score.Many research trials have shown that CIMT is an independent predictor of atherosclerosis.This report reviews the literature of CIMT and indicates the value of CIMT in screening of coronary heart disease.CIMT has a great significance in re-evaluation of population with medium risk.CIMT measurement by ultrasonography can be used the routine examination among pilots over 60 years old.

关 键 词：飞行员 颈动脉超声 心血管疾病 

分 类 号：R851.3[医药卫生—航空、航天与航海医学]