彩色多普勒超声诊断脑血管疾病患者颈动脉粥样硬化的应用效果分析  

Application Effect of Color Doppler Ultrasound in the Diagnosis of Carotid Atherosclerosis in Patients with Cerebrovascular Disease

作　　者：曲波 QU Bo(The Second People's Hospital of Fuxin,Fuxin Obstetrics and Gynecology Hospital,Fuxin 123000,China)

机构地区：[1]阜新市第二人民医院(阜新市妇产医院),辽宁阜新123000

出　　处：《中国医药指南》2023年第13期90-92,共3页Guide of China Medicine

摘　　要：目的探讨彩色多普勒超声应用于脑血管疾病患者颈动脉粥样硬化的诊断效果,为提高临床诊断准确率,临床治疗疾病提供有价值的依据。方法本次试验实施分组讨论,观察组对象选择2021年10月至2022年11月我院接收的50例颈动脉粥样硬化脑血管患者,对照组研究对象选择长期在本院进行健康体检健康志愿者50例,两组患者均接受彩色多普勒超声检查,比较两组诊断效果,统计颈动脉硬化斑块数量。结果观察组对象颈动脉内膜中层左侧厚度(1.53±0.14)mm、右侧厚度(1.51±0.12)mm,对照组对象颈动脉内膜中层左侧厚度(0.85±0.05)mm、右侧厚度(0.83±0.05)mm,组间数据比较后无明显差异存在(P>0.05);通过对两组对象进行彩色多普勒超声检查后,对照组检出颈动脉硬化斑块共5块(1块软斑,1块硬斑,2块混合斑,1块扁平斑),观察组检出颈动脉硬化斑块共57块(20块硬斑,8块软斑,19块混合斑,10块扁平斑),组间比较差异有统计学意义(P<0.05)。观察组和对照组颈动脉硬化斑块多集中在颈动脉交叉处。结论彩色多普勒超声应用于脑血管疾病患者颈动脉粥样硬化的临床诊断中,取得了显著的诊断效果,为临床疾病的诊疗和制定治疗方案提供了有价值的影像学信息。Objective Color doppler ultrasound is used in the clinical diagnosis of carotid atherosclerosis in patients with cerebrovascular disease,improve the accuracy of clinical diagnosis,and provide a valuable basis for clinical treatment of diseases.Methods Group discussion was conducted in this trial.The observation group was selected 50 patients with carotid atherosclerosis and cerebrovascular disease admitted to our hospital from October 2021 to November 2022,and the control group was selected 50 healthy volunteers who had long-term physical examination in our hospital.Both groups of patients were examined by color doppler ultrasound to determine the diagnostic effect.The number of carotid atherosclerotic plaque was counted.Results The left and right carotid intima-media thickness of the observation group was(1.53±0.14)mm and(1.51±0.12)mm,and the left and right carotid intima-media thickness of the control group was(0.85±0.05)mm and(0.83±0.05)mm,respectively.There was no significant difference between the two groups(P>0.05).After color doppler ultrasound examination of the two groups,a total of 5 carotid atherosclerotic plaques(1 soft plaque,1 hard plaque,2 mixed plaques,1 flat plaque)were detected in the control group,and 57 carotid atherosclerotic plaques(20 hard plaques,8 soft plaques,19 mixed plaques,10 flat plaques)were detected in the observation group.There were statistically significant differences between the two groups.There was statistical significance(P<0.05).The carotid atherosclerotic plaques in the observation group and the control group were mostly concentrated at the intersection of the carotid arteries.Conclusion The application of color doppler ultrasound in the clinical diagnosis of carotid atherosclerosis in patients with cerebrovascular disease has achieved significant diagnostic effect.It provides valuable imaging information for the diagnosis and treatment of clinical diseases.

关 键 词：彩色多普勒超声 颈动脉粥样硬化 脑血管疾病 颈动脉内膜 影像学检查 

分 类 号：R743[医药卫生—神经病学与精神病学] R445.1[医药卫生—临床医学]