彩色多普勒超声在评价中风患者颈动脉病变程度与证候诊断相关性中的应用

Application of color Doppler ultrasound on evaluating the correlation between TCM diagnosis and carotid artery lesion in patients with stroke

目的:应用彩色多普勒超声诊断仪分析中风患者颈动脉病变的声像特点,探讨颈动脉病变程度与中风的中医分型诊断及证候诊断之间的相关性。方法:选择中风患者278例,行颈动脉彩色多普勒超声检查,总结中风患者中医诊断与颈动脉病变程度之间的关系。用SPSS统计软件13.0版进行t检验,x^2检验。结果:男性、高血压、冠心病、糖尿病等危险因素与中风病有相关性(P<0.05)。颈动脉硬化狭窄的程度、颈动脉内斑块回声特性与中风患者等级及辨证分型有明显相关性(P<0.05)。结论:随着颈动脉狭窄程度的提高,中风患者的评分等级也升高。颈动脉彩色多普勒超声检查有助于中医临床对中风的防治。

Objective： To analyze the ultrasonographic characteristics of pathologic changes of carotid artery in patients with stroke, and study the correlation between the degrees of carotid pathologic changes and classification diagnosis of traditional Chinese medicine （TCM） and syndrome diagnosis of stroke were explored. Methods： Two hundred and seventy-eight stroke patients were selected to undergo carotid color Doppler ultrasonic examination. The relationship between TCM diagnosis of stroke patients and pathologic changes of carotid artery was summarized then. SPSS 13.0 software was adopted to perform t-test and Х^2 test. Results： The dangerous factors including gender, hypertension, coronary heart disease, diabetes, etc were correlated with stroke（ P 〈0.05）. Degrees of carotid stenosis, carotid plaque echo characteristics had significant correlation with degrees of stroke patients and syndrome differentiation of stroke patients（ P〈0.05）. Conclusion： Stroke patient score increase as the increment of carotid stenosis degree. Carotid color Doppler ultrasonic examination is clinically helpful for stroke prevention and treatment by TCM.