耳折征患者颈动脉内膜中层厚度和斑块发生率的临床观察  

Clinical observation of carotid artery intima-media thickness and incidence of plaque in patients with diagonal earlobe crease

作　　者：王婷[1] 刘振国[2] 柴春艳[1] 徐邦强[1] 

机构地区：[1]陕西省人民医院西院一病区,西安710068 [2]陕西省人民医院ICU

出　　处：《中国临床保健杂志》2016年第6期621-623,679,共4页Chinese Journal of Clinical Healthcare

摘　　要：目的分析双侧耳折征(DELC)患者的颈动脉内膜中层厚度(IMT)、颈动脉斑块发生率的情况。方法选取50岁以上患者110例,其中DELC组60例,对照组50例。所有患者测量体质量、身高,记录吸烟史及高血压病、2型糖尿病、脑梗死、心肌梗死病史,应用彩色多普勒超声检查颈动脉结构。对比两组年龄、男性比例、体质量指数(BMI)、吸烟率、患病率(高血压病、2型糖尿病、脑梗死、心肌梗死)、颈动脉IMT、斑块发生率。结果与对照组相比,DELC组BMI、吸烟者无显著增加,但年龄更大[(72.6±8.4)岁比(66.1±14.7)岁,P<0.05],高血压病(75.0%比56.0%,P<0.05)、2型糖尿病(45.0%比26.0%,P<0.05)、陈旧性脑梗死(43.3%比22.0%,P<0.05)、陈旧性心肌梗死(36.7%比16.0%,P<0.05)患病率更高。与对照组相比,DELC组颈动脉IMT明显增厚[(1.21±0.27)mm比(0.84±0.21)mm,P<0.05)],斑块发生率明显增加(85%比62%,P<0.05)。结论对于DELC患者,应加强动脉粥样硬化及其危险因素的筛查。Objective To analysis the carotid artery intima-media thickness and incidence of plaque in patients with diagonal earlobe crease. Methods Sixty patients with DELC were recruited into the DELC group, while 50 non- DELC patients were recruited into the control group. All patient weight,height ,history of smoking,hypertension,diabetes mellitus, cerebral infarction, myocardial infarction were recorded. Carotid structure were detected by color Doppler ultra-sound. Men ratio,body mass index（BMI） ,smoking prevalence,the prevalence rate of hypertension,diabetes mellitus,cerebral infarction, myocardial infarction, carotid artery IMT and incidence of plaque were compared between two groups. Result 1. Compared with control group, BMI and smoker of DELC group were no significant different, but more older [（72.6 ±8.4）y VS. （66. 1 ± 14. 7）y,P 〈0. 05] and also with higher prevalence rate of hypertension（75. 0% VS. 56. 0% ,P 〈0.05） ,diabetes mellitus（45.0% VS. 26. 0% ,P 〈0. 05） ,cerebral infarction（43. 3% VS. 22. 0% 〈0.05）,myocardial infarction（36. 7% VS. 16.0% ,P 〈0.05）. 2. IMT and incidence of carotid plaque in DELC group were significantly higher than those in control group [ （ 1. 21 ± 0. 27） mm VS. （0. 84 ± 0. 21 ） mm,/3 〈 0. 05 ] （ 85% VS 62%）,P 〈 0. 05）. Conclusion Atherosclerosis and its risk factors screening should be strengthened in patients with DELC.

关 键 词：动脉粥样硬化 颈动脉内膜中层厚度 斑块 动脉粥样硬化 患病率 耳廓 

分 类 号：R543.5[医药卫生—心血管疾病]