H型高血压颈动脉超声特点探讨  

Discussion of the characteristics of carotid ultrasound in hypertensive patients with hyperhomocysteinemia

作　　者：唐勇军[1] 孙晓岚[1] 

机构地区：[1]上海市杨浦区市东医院超声科,上海200438

出　　处：《徐州医学院学报》2016年第3期182-183,共2页Acta Academiae Medicinae Xuzhou

摘　　要：目的：探讨伴有高同型半胱氨酸血症（HHcy）的原发性高血压（H型高血压）患者的颈动脉超声特点。方法274例原发性高血压患者根据是否伴有HHcy分为H型高血压组154例和单纯型高血压组120例，均进行颈动脉超声检测。分析对比2组颈动脉内中膜厚度（IMT）、颈动脉动脉粥样斑块的检出率、斑块积分和狭窄程度。结果与单纯型高血压组比较，H型高血压组的颈动脉IMT增加、动脉粥样斑块检出率及斑块积分明显增高（P＜0．05），而颈动脉狭窄程度无明显加重（P＞0．05）。结论 H型高血压患者的颈动脉IMT增加，易形成动脉粥样斑块。Objective To investigate the characteristics of carotid ultrasound in primary hypertensive patients with hyperho-mocysteinemia.Methods A total of 274 primary hypertensive patients were divided into two groups according to their levels of ho-mocysteine：a type H group and a hypertension group.They underwent carotid ultrasound examination and were compared for the intimal medial thickness （IMT） of the carotid lumen, the detection rate of carotid artery atheromatous plaques, the score of plaques and the narrowness of the carotid lumen.Results Compared with the hypertension group, the type H hypertension group presented significant increases in IMT, the detection rate of artery atheromatous plaques and plaque scores in the carotid （P〈0.05）.No ob-vious difference was found as to the narrowness of the carotid lumen （P〉0.05）.Conclusion Hypertensive patients with hyperho-mocysteinemia show increased IMT in the carotid artery , which may facilitate the formation of atheromatous plaques .

关 键 词：H型高血压 颈动脉 超声诊断 

分 类 号：R544.1[医药卫生—心血管疾病]