颈动脉彩色多普勒超声检查在脑梗死的应用探讨

Color Doppler ultrasound the carotid artery in cerebral infarction of the application

目的探讨颈动脉彩色多普勒超声检查在脑梗死的应用价值。方法 2012年6月—2013年6月在本科的住院病人264例,分为132例脑梗死组和132例其他病人组,均进行颈动脉超声检查观察,观察颈动脉内中膜厚度(CIMT)及有无颈动脉斑块。结果 132例脑梗死患者颈动脉斑块发生率为71%,CIMT增厚发生率为79%,其他病人组颈动脉斑块发生率为30.3%CIMT增厚发生率为39%,脑梗死组CIMT增厚及颈动脉斑块的发生率均显著增加(P<0.05)。结论 CIMT增厚和颈动脉斑块形成与脑梗死有密切的相关性,对45岁以上健康人进行颈动脉彩色多普勒超声检查,早期发现动脉粥样硬化,对预防脑梗死发生具有重要的价值。

Objective To investigate carotid artery color Doppler ultrasound value in cerebral infarction. Methods June 2012 to June 2013 in patients 264 people, divided into 132 cases of cerebral infarction group and 132 cases of other patients, underwent carotid ultrasound examination of carotid artery intima-media thickness （CIMT） and with or without carotid plaque. Results In 132 cases of cerebral infarction in patients with carotid artery plaque occurrence rate is 71%, CIMT thickening occurred in 79% other patients, carotid plaque occurrence rate is 30.3 % CIMT. The incidence rate was 39%, the incidence of cerebral infarction group and CIMT thickening of carotid plaque were significantly increased （P 〈 0.05）. Conclusion CIMT thickening and the formation of carotid plaque has close correlation with cerebral infarction, carotid artery color Doppler ultrasound in healthy people over the age of 45, early detection of atherosclerosis, prevention of cerebral infarction has important value.