颈动脉超声检测在脑卒中高危人群筛查中的应用价值研究  

Study on the application value of carotid artery ultrasound in screening high-risk population of stroke

作　　者：唐庆武 王青飞 朱相宝 TANG Qing-wu;WANG Qing-fei;ZHU Xiang-bao(Leping Center for Disease Control and Prevention,Jiangxi Province,Leping333300,China;Department of Pathology,Leping Hospital of Traditional Chinese Medicine,Jiangxi Province,Leping333300,China)

机构地区：[1]江西省乐平市疾病预防控制中心,江西乐平333300 [2]江西省乐平市中医医院病理科,江西乐平333300

出　　处：《中国当代医药》2021年第13期162-165,共4页China Modern Medicine

基　　金：江西省景德镇市社会发展领域-医疗卫生科技计划项目(20192SFZC055)。

摘　　要：目的探究脑卒中高危人群筛查中使用颈动脉超声检测的临床价值。方法2018年8月~2020年6月于江西省乐平市抽取360例居民进行调查,被调查居民均在40岁以上。根据8+2脑卒中危险因素,将被调查者分为健康组、低危组、中危组及高危组,每组各90例。调查其基本生活习惯、斑块检出率等情况,并用彩色多普勒超声检测仪器进行颈动脉超声检测,分析颈动脉超声检测的临床价值。结果360例受检者颈部血管斑块形成102例,总检出率为28.33%;中膜增厚检出共101例,总检出率为28.06%。高危组的颈部血管斑块检出率、中膜增厚检出率高于中危组、低危组、健康组,差异有统计学意义(P<0.05);中危组的颈部血管斑块检出率、中膜增厚检出率高于低危组、健康组,差异有统计学意义(P<0.05);低危组的颈部血管斑块检出率、中膜增厚检出率高于健康组,差异有统计学意义(P<0.05)。高危组单发、多发斑块性质总检出率高于中危组、低危组和健康组,差异有统计学意义(P<0.05);中危组单发、多发斑块性质总检出率高于低危组、健康组,差异有统计学意义(P<0.05);低危组单发、多发斑块性质总检出率高于健康组,差异有统计学意义(P<0.05)。结论将颈动脉超声检测运用于脑卒中高危人群的筛查,能够有效分辨脑卒中高、中、低危人群,并明确中膜增厚、斑块性质,为临床治疗干预提供丰富的影像学数据。Objective To explore the clinical value of carotid artery ultrasound in screening high-risk population of stroke.Methods From August 2018 to June 2020,360 residents were selected for investigation in Leping City,Jiangxi Province,and the residents surveyed were all over 40 years old.According to 8+2 stroke risk factors,the respondents were divided into healthy group,low-risk group,intermediate-risk group and high-risk group,with 90 cases in each group.The basic living habits and plaque detection rate of residents were investigated.The color Doppler ultrasound detection instrument was used for carotid artery ultrasound detection,and the clinical application value of carotid artery ultrasound detection was analyzed.Results There were 102 cases of neck vascular plaque formation in 360 subjects,with a total detection rate of 28.33%;a total of 101 cases of media thickening were detected,with a total detection rate of 28.06%.The detection rates of neck vascular plaque and media thickening in the high-risk group were higher than those in the intermediate-risk group,low-risk group,and healthy group,and the differences were statistically significant(P<0.05).The detection rates of neck vascular plaque and media thickening in the intermediate-risk group were higher than those in the low-risk group and healthy group,and the differences were statistically significant(P<0.05).The detection rates of neck vascular plaque and media thickening in the low-risk group were higher than those in the healthy group,and the differences were statistically significant(P<0.05).The total detection rates of single and multiple plaques in the high-risk group were higher than those in the intermediate-risk group,low-risk group and healthy group,and the differences were statistically significant(P<0.05).The total detection rates of single and multiple plaques in the intermediate-risk group were higher than those in the low-risk group and healthy group,and the differences were statistically significant(P<0.05).The total detection rates of single an

关 键 词：颈动脉超声检测 内中膜 脑卒中 斑块 血管病变 

分 类 号：R445[医药卫生—影像医学与核医学]