高血压患者颈动脉超声检测研究

Research on the Carotid Artery Ultrasonography in Patients With Hypertension

目的探讨高血压患者颈动脉超声检测的临床价值。方法本研究回顾统计了本院收治行颈动脉和颈内动脉超声检查的100例高血压患者,并选取同期行颈动脉和颈内动脉超声检查的非高血压体检患者300例。结果高血压患者继发颈动脉粥样硬化率较高,且随着患者年龄增加而增加。另外,相同年龄段下的高血压患者和非高血压体检人群,颈动脉超声检查发现,高血压患者颈动脉粥样硬化发生率更高,差异有统计学意义(P <0.05)。结论通过颈动脉内膜中层厚度和斑块厚度可直观反映出高血压患者病程进展和全身动脉粥样硬化程度,从而对临床监测高血压疾病和预后有效控制提供了准确、安全可行的治疗辅助方案。

Objective To study the Clinical value of carotid artery ultrasonography in hypertensive patients.Methods 100 hypertensive patients were retrospectively analyzed who underwent carotid artery and internal carotid artery ultrasonography in our hospital.Meanwhile,300 cases of non hypertension physical examination with carotid ultrasound and internal carotid artery ultrasonography were selected.Results The rate of carotid atherosclerosis was higher in patients with hypertension,and increased with age.In addition,carotid ultrasonography showed that carotid atherosclerosis was more significant in hypertensive patients and non-hypertensive people of the same age group(P<0.05).Conclusion Carotid intima-media thickness and plaque thickness can directly reflect the progress of hypertension and the degree of atherosclerosis of the whole body,thus providing an accurate,safe and feasible treatment for clinical monitoring of hypertension and effective control of prognosis.