脑梗患者的颈动脉超声检查及血脂分析

目的:探讨超声检查在脑梗患者颈动脉粥样硬化的诊断价值及颈动脉硬化患者血脂特点。方法:分析临床拟诊脑梗死患65例,选择同时期健康体检的95例体检者为对照组,采用彩色多普勒超声检查颈动脉,然后对70例彩色多普勒超声检查为动脉粥样硬化患者做血脂生化检测。结果:观察组中有63例(96.92%)检查出有不同程度的颈动脉粥样硬化斑块形成,对照组有7例(7.37%)检查出有不同程度的颈动脉粥样硬化斑块形成,观察组颈动脉粥样硬化斑块例数显著多于对照组,差异有统计学意义(P<0.05),70例患者中彩色多普勒超声检出98处钙斑,低密度脂蛋白水平明显升高。结论:颈动脉粥样硬化与血脂代谢紊乱有关,彩色多普勒超声对颈动脉硬化是一项重要的辅助检查手段,具有诊断准确率高、无创、简便易行等优点。

Objective To evaluate the role of ultrasound in the diagnosis of carotid atherosclerosis in patients with cerebral infarc- tion and analyse characteristics of blood lipids in patients with carotid arteriosclerosis. Methods 65 cases of cerebral infarction patients for the observation group, choose the same period to our health examination of 95 patients with the physical examination for the control group, using color doppler ultrasound. Biochemical method to detect serum lipid levels. Results The observation group in 63 cases （96. 92% ） check out the different levels of carotid atherosclerotic plaque formation, and the control group has 7 cases （7. 37% ） check out the different levels of carotid atherosclerotic plaque formation （ P 〈 0. 05 ） o According to the Color Doppler Uhrasongraphy, 98 plaques were found in 70 patients and low density lipoprotein cholesterol level increased significantly. Conclusion Carotid atheroscle- rosis is associated with blood lipid metabolic disorders, color doppler flow imaging in carotid atherosclerosis is an important auxiliary examination method, has high diagnostic accuracy, noninvasive, convenient, etc.