颈动脉彩色多普勒超声检查联合头颅CT检查评价血管性痴呆程度的价值  

Value of Carotid Color Doppler Ultrasonography Combined with Cranial CT in Evaluating the Degree of Vascular Dementia

作　　者：谭晓莉 屈国标 谭慧华 TAN Xiaoli;QU Guobiao;TAN Huihua(Department of Special Examination,Jiangmen Third People’s Hospital,Jiangmen,Guangdong,529000)

机构地区：[1]江门市第三人民医院特检科,广东江门529000

出　　处：《智慧健康》2022年第32期5-8,共4页Smart Healthcare

基　　金：江门市科技计划项目“颈动脉彩色多普勒超声检查联合头颅CT检查评价血管性痴呆程度的价值”(项目编号:2020YLE025)。

摘　　要：目的探讨血管性痴呆程度经颈动脉彩色多普勒超声与头颅CT检查后的临床应用价值。方法回顾性分析2020年7月-2021年9月在本院接受治疗的90例血管性老年痴呆(VD)患者的临床资料,根据简易智力状态检查量表(MMSE)、日常生活活动评定量表(ADL)得分进行分组(轻度组、中度组、高度组),每组30例。均对其开展颈动脉彩色多普勒超声与头颅CT检查,分析三组患者的颈动脉超声指标、头颅CT检查指标,同时分析颈动脉超声指标、头颅CT检查指标与MMSE、ADL的危险评分的相关性。结果与轻度组和中度组比较,高度组患者的EDV、PSV、RI明显更高;高度组患者的外侧脑裂宽度值相比轻度组和中度组明显更低,尾状核指数值、额角指数值、三脑室宽度值、侧脑室宽度值、额叶脑沟宽度值、平均脑沟宽度值相比轻度组和中度组明显更高,以上差异均有统计学意义(P<0.05)。颈动脉超声指标、头颅CT检查指标与MMSE、ADL的危险评分存在正相关性。结论采用颈动脉彩色多普勒超声与头颅CT联合对VD患者进行检查,可有效明确其疾病严重程度,进而为后续治疗提供科学的参考依据。Objective To explore the clinical value of carotid color Doppler ultrasound and cranial CT in the diagnosis of vascular dementia.Methods The clinical data of 90 patients with vascular dementia(VD)treated in our hospital from July 2020 to September 2021 were analyzed retrospectively.They were divided into three groups(mild group,moderate group and severe group)according to the scores of simple mental state examination scale(MMSE)and activity of daily living rating scale(ADL),with 30 cases in each group.Carotid color Doppler ultrasound and cranial CT examination were carried out.The carotid ultrasound indexes and cranial CT examination indexes of the three groups were analyzed.At the same time,the correlation between carotid ultrasound indexes and cranial CT examination indexes and the risk scores of MMSE and ADL was analyzed.Results Compared with mild group and moderate group,the EDV,PSV and RI of patients in high group were significantly higher;the width of lateral fissure in the high group was significantly lower than that in the mild group and the moderate group,and the caudate nucleus index,frontal angle index,third ventricle width,lateral ventricle width,frontal sulcus width and average sulcus width were significantly higher than those in the mild group and the moderate group(P<0.05).Carotid ultrasound and cranial CT were positively correlated with the risk scores of MMSE and ADL.Conclusion The combination of carotid color Doppler ultrasound and cranial CT can effectively determine the severity of VD,and then provide scientific reference for follow-up treatment.

关 键 词：颈动脉彩色多普勒超声 头颅CT 血管性痴呆程度 

分 类 号：R445.1[医药卫生—影像医学与核医学] R749.13[医药卫生—诊断学]