颈动脉超声检查在心血管高危人群中的应用价值

Application values of carotid ultrasound in patients with high cardiovascular risk

目的探讨心血管高危人群中行颈动脉超声检查的临床应用价值。方法对本院收治的160例心血管病高危患者行颈动脉超声检查的资料进行回顾性分析。结果 160例高危患者中,大部分患者IMT普遍出现增厚,其中IMT<1.0mm有37例(23.13%);1.0mm≤IMT≤1.5mm有64例(40.00%);IMT>1.5mm有59例(36.88%)。随着患者的IMT厚度增加,各组患者的心血管相关危险因素及心脑血管事件发生情况(随访2年以上)也呈现增加趋势,组间比较差异均有统计学意义(P<0.01)。结论心血管高危人群行颈动脉超声检查,有助于全面了解患者的病情,进而指导治疗方案的选择,同时可作为患者病情转归的评价指标。此外,该方法具有操作简便、安全性高,微创性等优点,值得临床推广应用。

Objective To investigate clinical application values of carotid uhrasound in patients with high cardiovascu- lar risk. Methods A total of 160 clinical datas of patients with high cardiovascular risk receiving carotid ultrasound in our hospital were analyzed retrospectively. Results Of the 160 patients with high-risk, the IMT in the majority of pa- tients was thickening, and 37 cases （23.13%）, IMT〈0.0 mm; 64 cases （40.00%）, 1.0 mm≤IMT≤ 1.5 mm; 59 cases （36.88%）, IMT〉1.5 mm. With the increasing of the thickness of the patient＇s IMT, cardiovascular risk factors and car- diovascular and cerebrovascular events increased （follow-up of 2 years or more）, there were significant difference be- tween two groups（P〈0.01）. Conclusion Carotid ultrasound in patients with high cardiovascular risk can contribute to a comprehensive understanding of the patient＇s condition, and then guide the selection of treatment options, and also be the evaluation of the outcome of the patient＇s condition. In addition, this method has the advantages of simple opera- tion, safety, minimal invasion, it＇ s worthy of clinical application.