血管彩色多普勒超声在预测脑卒中复发中的相关因子研究  

Study on the Predictive Factors of Vascular Color Doppler Ultrasound in the Prediction of Stroke Recurrence

作　　者：马卫医 齐秀会 MA Weiyi;QI Xiuhui(Department of Ultrasound,Tianjin Baodi District People’s Hospital,Tianjin 301800,China;Department of Nursing,Tianjin Baodi District People’s Hospital,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院超声科,天津301800 [2]天津市宝坻区人民医院护理部,天津301800

出　　处：《中国医药指南》2025年第4期63-65,共3页Guide of China Medicine

摘　　要：目的探讨血管彩色多普勒超声在脑卒中复发预测中的价值,并分析其预测因子。方法收集2020年5月至2024年8月于天津市宝坻区人民医院经CT或MRI确诊为脑卒中的患者132例。采用血管彩色多普勒超声检查患者颈动脉及颅内血管,测量颈动脉内-中膜厚度,血管狭窄的程度及斑块性质。统计并分析患者的基本信息、血管超声检查结果及脑卒中复发情况。结果132例患者中,脑卒中复发35例。血管彩色多普勒超声结果显示,复发组颈动脉内-中膜厚度更厚,血管狭窄程度、易损斑块比例、高血压、糖尿病病史比例均较高(均P<0.05)。经Logistic统计分析,颈动脉内-中膜厚度、高血压、糖尿病、血管狭窄程度及斑块性质均为脑卒中复发的独立预测因子。结论血管彩色多普勒超声可准确评估颈动脉及颅内血管状态,为脑卒中复发提供有效的预测因子,有助于临床及早采取干预措施,降低脑卒中复发率。Objective To investigate the value of vascular color Doppler ultrasound in the prediction of stroke recurrence and to analyze its predictors.Methods A total of 132 patients diagnosed with stroke by CT or MRI in Tianjin Baodi District People’s Hospital from May 2020 to August 2024 were collected.Vascular color Doppler ultrasonography was used to examine the carotid artery and intracranial blood vessels,and the carotid artery intima-media thickness was measured to evaluate the degree of vascular stenosis and plaque nature.The basic information of the patients,the results of vascular ultrasound examination and the recurrence of stroke were counted and analyzed.Results Among the 132 patients,35 had recurrence of stroke.The results of vascular color Doppler ultrasound showed that the carotid artery IMT was significantly thickened,the degree of vascular stenosis was higher,and the proportion of vulnerable plaques was higher in the recurrent group.Statistical analysis showed that carotid artery IMT,vascular stenosis and plaque nature were independent predictors of stroke recurrence.Conclusions Vascular color Doppler ultrasound can accurately assess the status of carotid arteries and intracranial vessels,provide an effective predictor for stroke recurrence,and help to take clinical intervention early and reduce the recurrence rate of stroke.

关 键 词：血管彩色多普勒超声 脑卒中 复发预测 颈动脉内中膜厚度 血管狭窄 

分 类 号：R743.3[医药卫生—神经病学与精神病学]