高血压患者颈动脉粥样硬化的超声与临床研究

A combined ultrasound and clinical study in carotid atherosclerosis with hypertension

目的 探讨高血压患者颈动脉粥样硬化的超声和临床意义。方法 对48例高血压患者进行了颈动脉超声检查,并与15名正常人作对照。结果 高血压及高血压合并心脑血管并发症患者颈动脉内中膜厚度高于对照组(P<0.05)。高血压合并心脑血管并发症组颈动脉搏动指数和阻力指数高于单纯高血压组和对照组(P<0.05)。结论 颈动脉超声检查可以了解全身动脉粥样硬化的情况及心脑血管疾病存在的可能。

Objective Using ultrasound method to detect systemic atherosclerosis.Method Carotid ultrasonography was performed in 48 hypertensive patients which were compared with 15 age matched normal controls.Results The data showed that the carotid intima media thickness was significantly increased in hypertensive patients or those complicated with cardiocerebrovascular diseases,as compared with controls (P<0 05).The carotis pulsation index and resistance index were higher in hypertension complicated with cardiocerebrovascular diseases than in simple hypertension and controls (all P<0 05).Conclusion Carotid ultrasonography can learn the condition of systemic atherosclerosis and the occurrence of cardiocerebrovascular diseases.