老年缺血性脑血管病颈动脉超声检测的价值

Carotid artery ultrasound tests senile ischemic cerebrovascular disease

目的:探讨颈动脉超声检测在诊断老年缺血性脑血管病中的应用价值。方法:选择有颈动脉粥样斑块的患者80例(病例组),根据颈动脉超声检测结果分为轻度狭窄、中度狭窄、重度狭窄组,同期选取体检正常老年患者80例为对照组,所有患者检测血脂情况。结果:病例组患者颈动脉血管壁内、中膜厚度平均数值与颈总动脉斑块检出率明显高于对照组(P<0.05)。随着患者管腔狭窄程度增加,TG、TC、LDL和ApoB水平越高,HDL和ApoA-Ⅰ水平越低(P<0.05)。结论:颈动脉斑块性质以及狭窄程度与血脂水平密切相关,颈动脉粥样硬化是老年缺血性脑血管病的重要致病因素,颈动脉超声检测对病情诊断与预后具有一定的临床价值。

Objective：To study application testing value of carotid ultrasound in senile ischemic cerebrovascular disease. Method：The 80 patients with senile ischemie cerebrovascular disease （case group） were divided into mild, moderate, severe stenosis group. Another 80 healthy seniors as control group. They were detected blood lipid. Result：The average thickness of carotid artery vascular wall, carotid artery plaque in case group were higher than those in control group （P〈0.05）. As the vascular stenosis increasing, TG, TC, LDL, ApoB rised while HDL, ApoA I decreased in case group. Conclusion：Carotid artery vascular wall nature and stenosis are related to blood lipid in senile ischemic cerebrovascular disease.