颈动脉超声筛查在颈动脉狭窄与脑卒中高危人群中的应用价值评价  

Application Value of Carotid Ultrasound Screening in Carotid Artery Stenosis and Stroke High-Risk Population

作　　者：郭莉 GUO Li(Health Service Center,Changzhou Street Community,Hedong District,Tianjin,Tianjin 300171)

机构地区：[1]天津市河东区常州道街社区卫生服务中心,天津300171

出　　处：《中国医疗器械信息》2024年第22期125-127,共3页China Medical Device Information

摘　　要：目的:评价颈动脉超声筛查用于颈动脉狭窄、脑卒中高危人群中的作用效果。方法:在2023年5月~2024年5月在本院接受颈动脉狭窄诊断的脑卒中高危人群中随机选择100例作为本次观察组研究对象,再择取同期入院体检的100例健康人群作为对照组研究对象,对所有研究对象基本信息资料进行分析,并实施颈动脉超声筛查,比较分析以下内容:不同年龄阶段患者颈动脉超声情况;不同性别患者颈动脉超声情况;不同疾病患者颈动脉狭窄情况;两组血管内径比较。结果:从年龄≤60岁、年龄>60岁脑卒中高危人群检查结果上看,随着年龄增长,内膜增厚越明显,单发或多发斑块形成率较高,动脉狭窄或完全闭塞人数较多,两组指标比较有统计学意义(P<0.05);从性别上看,男性脑卒中患者在内膜增厚、单发、多发斑块形成、动脉狭窄及鼻塞发生率上显著高于女性脑卒中患者,对比有统计学意义(P<0.05);对脑卒中高危人群的疾病情况进行分析,冠心病患者在颈动脉狭窄程度上最为严重,其次是高血压、下肢动脉疾病以及糖尿病;观察组脑卒中患者颈总动脉内径、颈内动脉颅外段内径均比对照组健康人群内径更狭窄,对比有统计学意义(P<0.05)。结论:脑卒中高危人群利用颈动脉超声筛查对颈动脉狭窄程度进行诊断具有较高作用价值,超声技术可将颈动脉狭窄程度清晰呈现,且从结果表明冠心病、高血压患者等均是脑卒中高危人群,需要加强警惕。Objective:To evaluate the effect of carotid ultrasound screening in high-risk patients with carotid artery stenosis and stroke.Methods:100 patients with high risk of stroke who received diagnosis of carotid artery stenosis in our hospital from May 2023 to May 2024 were randomly selected as the study subjects in this observation group,and 100 healthy people admitted for physical examination during the same period were selected as the control group.Basic information and data of all subjects were analyzed,and carotid artery ultrasound screening was implemented.Compare and analyze the contents:Carotid artery ultrasound in patients of different ages;Carotid ultrasound in patients of different genders;Carotid artery stenosis in patients with different diseases;Comparison of blood vessel diameter between the two groups.Results:From the examination results of high-risk stroke groups aged≤60 years old and aged>60 years old,the older the intimal thickening was,the higher the rate of single or multiple plaque formation,and the more the number of arterial stenosis or complete occlusion,the comparison between the two groups had statistical significance(P<0.05).From the perspective of gender,the incidence of intimal thickening,single and multiple plaque formation,artery stenosis and nasal congestion in male stroke patients was significantly higher than that in female stroke patients,with statistical significance(P<0.05).The disease situation of high-risk groups of stroke was analyzed.Carotid artery stenosis was the most serious in patients with coronary heart disease,followed by hypertension,lower limb artery disease and diabetes.The internal diameter of the common carotid artery and the external cranial section of the internal carotid artery in the observation group were narrower than those in the control group,with statistical significance(P<0.05).Conclusion:Carotid ultrasound screening has a high value in diagnosing the degree of carotid artery stenosis in high-risk groups of stroke,and ultrasound technology can clearly p

关 键 词：脑卒中 高危人群 颈动脉超声筛查 颈动脉狭窄 诊断效果 

分 类 号：R445.1[医药卫生—影像医学与核医学]