高频超声对颈动脉粥样硬化病变的多因素分析

Analysing Multiple Factors of High Frequence Ultrasound for Carotid Atherosclerosis

目的通过应用高频超声检查颈动脉病变，探讨颈动脉粥样硬化与年龄、性别、高血压、糖尿病、冠心病及高脂血症的关系。方法高频超声对305例受试者进行双侧颈动脉超声检查，测量颈动脉内中膜厚度、斑块大小及管腔的狭窄、闭塞与年龄、性别、高血压、高血脂、糖尿病及冠心病的关系。结果年龄、性别、高血压、糖尿病、冠心病、高脂血症是颈动脉粥样硬化的危险因素：①随着年龄增高，患者颈动脉斑块、管腔狭窄及闭塞发生率显著增高；②男性患者与同一年龄段的女性患者相比颈动脉斑块、管腔狭窄及闭塞发生率显著增高；③伴有高血压、糖尿病、冠心病及高脂血症一种或一种以上疾病患者颈动脉斑块、管腔狭窄及闭塞发生率显著增高。结论年龄、性别、高血压、糖尿病、冠心病及高脂血症为颈动脉粥样硬化的密切相关因素。

Objective We examined patients＇ scarotid arteries by using high frequency transducer to analyse the relationship between carotid atherosclerosis and age, sexy, hypertension, diabetes, coronary heart disease and hyperlipidemia. Methods All carotid arteries of 305 cases were examined with high frequency transducer and intima-media thickness,plaques and the percentage of stenosis were measured. Results Age, sexy, hypertension, diabetes, coronary heart disease,hyperlipidemia are risk factors of carotid atherosclerosis. Conclusion Age, sexy, hypertension,diabetes ,coronary heart disease ,hyperlipidemia were correlated with carotid atherosclerosis.