彩色多普勒超声对高血压患者颈动脉粥样硬化的诊断分析  

Analysis of Diagnosis of Carotid Atherosclerosis in Hypertension Patients with Color Doppler Ultrasound

作　　者：庞兴美 张川荛[2] 宋文娟 陈端珍 董志坚 

机构地区：[1]昆明市第三人民医院B超室,云南昆明650041 [2]昆明医科大学,云南昆明650500

出　　处：《昆明医科大学学报》2014年第4期129-132,共4页Journal of Kunming Medical University

摘　　要：目的通过彩色多普勒超声对颈动脉粥样硬化的诊断分析，探讨男性及女性高血压患者不同年龄段颈动脉粥样硬化的患病情况．方法回顾性分析昆明市第三人民医院于2012年7月至2013年9月对472例高血压患者的颈动脉超声检查结果，将结果按性别及年龄进行分组，比较高血压患者IMT增厚及硬化斑块形成发病率与年龄及性别的关系．结果本组472例患者中共检出颈动脉IMT增厚男性142例，患病率76．3％，女性180例，患病率62．9％，粥样硬化斑块形成男性97例，患病率52．2％，女性129例，患病率45．1％．将男性和女性按年龄段分组对比，结果发现随年龄增长，各年龄组男性颈动脉IMT增厚的患病率高于女性，61。70年龄组男女比较，差异有统计学意义（P〈0．01）；硬化斑块的患病率除71-80岁组女性略高于男性外，各年龄组男性患病率均高于女性，51-60以及61-70年龄组男性与女性相比，差异有统计学意义（P〈0．05），即硬化斑块的患病率与性别有关．结论高血压患者颈动脉粥样硬化的患病率随年龄增长而增高，男性患病率普遍高于女性，彩色多普勒超声可及早发现高血压患者颈动脉粥样硬化的早期表现，在对高血压患者颈动脉粥样硬化的预防、诊断及治疗中有较好的作用．Objective To analyze the diagnosis of carotid atherosclerosis in different age groups using color doppler uhrasonography. To investigate prevalence rates of male and female. Methods The inspection result of two hundred and three hypertensive patients from July 2012 to September 2013 of the third Kunming people＇s hospital by color doppler carotid artery ultrasound were analysed retrospectively. The patients were categorized according to age and sex. Then we studied the relationship between prevalence rates and age and sex in essential hypertensive patients with carotid intima-media thickness （IMT） or atherosclerotic plaque. Results Among 472 cases of patient, there were 142 male cases incrassation of inner-tunica media in carotid artery, the prevalence rates was 76.3% and 180 female cases, the prevalence rates was 62.9%. Also there were 97 male cases with carotid artery atherosclerotic plaque, the prevalence rates was 52.2%, and 129 female cases, the prevalence rates was 45.1%. The difference between male and female was compared in the same age group. IMT thickening and plaque prevalence rates increased with age. The prevalence rates in male of carotid IMT was higher than female, there were significance differences in male and female aged 61 to 70 years old （P〈0.01） . The prevalence rates of carotid artery atherosclerotic plaque in male was higher than female except 71-80 years old group, there were significance differences between male and female aged 51 to 70 years old （P〈0.05） . That means sex has relation with the prevalence rates of carotid artery atherosclerotic plaque. Conclusions The prevalence rates of patients with carotid atherosclerosis and hypertensionis increased with age. The prevalence rates of male is higher than female. Color Doppler ultrasound can detect early manifestations of carotid atherosclerosis in patients with hypertension, and has a good role in the prevention, diagnosis and treatment of carotid atherosclerosis in patients with hypertension

关 键 词：彩色多普勒超声 高血压 颈动脉粥样硬化 诊断分析 

分 类 号：R445.1[医药卫生—影像医学与核医学]