头颈部CTA、颈动脉彩超在老年血管性帕金森综合征与帕金森综合征中应用价值研究  

Application value of head and neck CTA and carotid artery color Doppler ultrasounin elderly patients with vascular Parkinson's syndrome and Parkinson's syndrome

作　　者：冀学红 岳术义[2] 李瑞莲 姚丽娜[2] 李美杰 纪利利 时伟 张立娜 Ji Xuehong;Yue Shuyi;Li Ruilian;Yao Lina;Li Meijie;Ji Lili;Shi Wei;Zhang Lina(Department of Severe Medicine,the Baoding Second Central Hospital,Hebei 072750,CHina)

机构地区：[1]保定市第二中心医院重症医学科,河北072750 [2]保定市第二中心医院老年病科,河北072750 [3]涿州市第二人民医院一分院妇产科

出　　处：《脑与神经疾病杂志》2020年第4期234-238,共5页Journal of Brain and Nervous Diseases

基　　金：河北省科技计划项目任务(17277711D)。

摘　　要：目的研究头颈部CT血管成像(CTA)、颈动脉彩超在老年血管性帕金森综合征(VPS)与帕金森综合征(PD)中的应用价值。方法选取2017年7月-2019年7月本院收治的老年VPS患者30例,VPS 1型15例作为VPS 1型组,VPS 2型15例作为VPS 2型组,另外同期选取老年PD患者30例作为PD组。对三组患者行头颈部CTA、颈动脉彩超、MRI检查,分析颈动脉病变、梗死情况。结果三组患者颈动脉粥样硬化斑块性质、梗死灶部位上比较(P>0.05);VPS 1型组、VPS 2型组患者与PD组患者在有无颈动脉斑块溃疡、内-中膜(IMT)层厚度、颈动脉狭窄程度、斑块形成、有无脑梗死、梗死面积、梗死数目上比较(P<0.05);VPS 1型组、VPS 2型组患者在有无颈动脉斑块溃疡、内-中膜(IMT)层厚度、颈动脉狭窄程度、斑块形成、有无脑梗死、梗死面积、梗死数目上比较(P>0.05)。结论头颈部CTA、颈动脉彩超可作为老年血管性帕金森综合征与帕金森综合征的鉴别手段,值得在临床上推广应用。Objective To study the application value of head and neck CT angiography(CTA)and carotid artery color Doppler ultrasound in elderly patients with vascular Parkinson's syndrome(VPS)and Parkinson's syndrome(PD).Methods Thirty elderly patients with VPS admitted to our hospital from July 2017 to July 2019 were selected.Fifteen patients with VPS-1 were selected as VPS-1 group,15 patients with VPS-2 as VPS-2 group,and 30 elderly patients with PD were selected as PD group at the same time.The head and neck CTA,carotid ultrasonography and MRI were performed in the three groups to analyze the carotid artery lesions and infarction.Results The characteristics of carotid atherosclerotic plaque and the location of infarction in the three groups were compared(P>0.05).There were no plaque ulcer,IMT thickness,stenosis degree,plaque formation,cerebral infarction,infarct area,infarct number in VPS 1 group,VPS 2 group and PD group(P<0.05).The patients in VPS 1 group and VPS 2 group were compared in terms of carotid plaque ulcer,IMT thickness,carotid stenosis,plaque formation,cerebral infarction,infarct area and infarct number(P>0.05).Conclusion Head and neck CTA and carotid artery color Doppler ultrasonography can be used to differentiate senile vascular Parkinson's syndrome from Parkinson's syndrome,which is worthy of clinical application.

关 键 词：头颈部CT血管成像 颈动脉彩超 老年血管性帕金森综合征 老年帕金森综合征 

分 类 号：R742.5[医药卫生—神经病学与精神病学]