颈动脉彩色多普勒超声检查对急性缺血性脑卒中患者的临床价值  

Clinical value of carotid color Doppler ultrasonography in patients with acute ischemic stroke

作　　者：张锐 易娜 郭永华[1] 菅红伟 Zhang Rui;Yi Na;Guo Yonghua;Jian Hongwei(Department of Ultrasound,Beijing Daxing Teaching Hospital,Capital Medical University,Beijing 102600,China;Department of Thoracic Vascular Surgery,Beijing Daxing Teaching Hospital,Capital Medical University,Beijing 102600,China)

机构地区：[1]首都医科大学附属北京大兴教学医院超声科,北京102600 [2]首都医科大学附属北京大兴教学医院胸科血管外科,北京102600

出　　处：《血管与腔内血管外科杂志》2023年第5期604-607,共4页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨颈动脉彩色多普勒超声检查对急性缺血性脑卒中患者的临床价值。方法收集2020年2月至2022年10月于首都医科大学附属北京大兴教学医院就诊的90例急性缺血性脑卒中患者为卒中组,收集同时期于本院进行体检的90例体检者为对照组。比较两组研究对象的一般资料、颈动脉内膜中层增厚检出率、斑块检出率、狭窄程度、颈动脉内膜中层厚度。结果卒中组患者体重指数、高血压、糖尿病、收缩压、血糖、甘油三酯均高于对照组患者,差异均有统计学意义(P﹤0.05)。卒中组患者内膜中层增厚、颈动脉斑块、中重度颈动脉狭窄检出率均明显高于对照组患者,差异均有统计学意义(P﹤0.01)。卒中组患者颈总动脉、颈内动脉及颈外动脉的内膜中层厚度均明显高于对照组患者,差异均有统计学意义(P﹤0.01)。结论彩色多普勒超声检查颈动脉可判断患者缺血性脑卒中的发生风险,有利于临床上及时识别高危人群,从而积极进行干预,为临床治疗提供参考。Objective To analyze the clinical value of carotid color Doppler ultrasonography in patients with acute ischemic stroke.Method A total of 90 patients with acute ischemic stroke(stroke group)and 90 healthy people(control group)who were examined in the Beijing Daxing Teaching Hospital,Capital Medical University from February 2020 to October 2022 were selected and analyzed.The general data,detection rate of carotid intima-media thickening,plaque detection rate,stenosis degree and carotid intima-media thickness were compared between the two groups.Result The body mass index,hypertension,diabetes,systolic blood pressure,blood sugar and triglyceride in the stroke group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The detection rate of carotid intima-media thickening,carotid plaque and moderate to severe stenosis in stroke group were significantly higher than those in control group,the differences were statistically significant(P<0.01).The intima-media thickness of common carotid artery,internal carotid artery and external carotid artery in stroke group were significantly higher than those in control group,the differences were statistically significant(P<0.01).Conclusion Carotid artery examination by color Doppler ultrasound can determine the risk of ischemic stroke in patients,which is conducive to clinical timely identification of high-risk groups,so as to actively intervene and provide references for clinical treatment.

关 键 词：颈动脉 彩色多普勒超声 急性缺血性脑卒中 内膜中层厚度 

分 类 号：R543[医药卫生—心血管疾病]