基于颈动脉血管超声对老年无症状脑梗死的评价  

Carotid artery ultrasound evaluation on asymptomatic cerebral infarction in elderly patients

作　　者：王艳[1] 张海波 陈彪[1] 马隽[1] 范梅贞[1] 张铁山[1] WANG Yan ZHANG Hai-bo CHEN Biao MA Jun FAN Mei-zhen ZHANB Tie-shan(The Affiliated Hospital of Beihua University, Jilin 132011, China)

机构地区：[1]北华大学附属医院,吉林吉林132011 [2]通化市五三一医院

出　　处：《中国地方病防治》2016年第10期1087-1089,共3页Chinese Journal of Control of Endemic Diseases

摘　　要：目的探讨高频超声观察颈动脉的改变与老年无症状性脑梗死的相关性。方法选2015年1月至2016年8月脑梗死组(无症状)30例为观察组,选择同段时间健康者30例为对照组。均采用GE LOGIQ 9型及PHILPS i E Elite型超声仪扫查颈动脉。观察两组颈动脉重构情况及血管功能情况并进行对比分析。结果观察组的重构发生率均高于对照组,有统计学意义(P<0.05);观察组的血流动力学积分值低于对照组,有统计学意义(P<0.05,);观察组与对照组比较血管功能有差异,具有统计学意义(P<0.05)。结论使用高频超声能够较好的展示无症状脑梗死患者颈动脉的情况,根据颈动脉的情况,早期发现无症状脑梗死患者,早期预防,以避免进入脑梗死期,对患者造成不可逆性的损伤。Objective To observe the correlation between carotid artery changes and asymptomatic cerebral infarction in elderly patients using high frequency ultrasound.Methods From January 2015 to August 2016, 30 cases of asymptomatic cerebral infarction group were selected as the control group by using the United States GE＇s LOGIQ 9-type and PHILPS＇s i E Elite-type color ultrasound diagnostic apparatus to real- time two- dimensional imaging scan carotid artery. The carotid artery remodeling and vascular function were observed and compared.Results The incidence of remodelling in the observation group was significantly higher than that in the control group（ P〈 0.05）. In the observation group, the systolic diameter of the common carotid artery increased, the diastolic diameter decreased（ P 〈0.05）, and there was significant difference compared with the control group（ P 〈0.05）.Conclusion The rate of aortic remodeling is higher in patients with asymptomatic cerebral infarction, and the carotid artery stiffness is significantly increased. The use of high-frequency ultrasound can better show the carotid artery in patients with asymptomatic cerebral infarction, according to the carotid artery, early detection of asymptomatic cerebral infarction in patients with early prevention to avoid entering the cerebral infarction, causing irreversible damage to patients.

关 键 词：高频超声 无症状脑梗死 颈动脉 血管重构 

分 类 号：R581.4[医药卫生—内分泌]