超声检测不同部位颈动脉内中膜厚度在心脑血管疾病诊断中的应用价值

Application value of ultrasonic detection in the carotid intima-media thickness of different parts in the diagnosis of cardiovascular and cerebrovascular disease

目的 探讨超声测量不同部位颈动脉内中膜厚度在心脑血管疾病诊断中的临床价值。方法 选取2013年11月~2014年6月在本院就诊的144例高血压病、冠心病、脑梗死（合并糖尿病）患者作为研究对象,另选取22例正常者作为对照组。所有研究对象均行双侧颈动脉彩色多普勒超声检测,比较不同组别颈动脉内中膜厚度的差异。结果144例心脑血管疾病患者中,50.69%的患者检出颈动脉内中膜结构异常病变,其中高血压合并冠心病者的检出率较高,为63.33%。疾病组的颈动脉内中膜厚度值高于对照组,差异有统计学意义（P〈0.05）。各组颈动脉球部内中膜厚度、颈总动脉分叉处近端1 cm处及颈内动脉近端的内中膜厚度比较,差异无统计学意义（P〉0.05）。结论超声检测颈动脉内中膜厚度可为心脑血管疾病的临床诊断治疗提供依据。

Objective To explore the clinical value of ultrasonic detection in the carotid intima-media thickness of dif-ferent parts in the diagnosis of cardiovascular and cerebrovascular disease. Methods 144 cases with hypertension,coro-nary heart disease,cerebral infarction (complicated with diabetes) in our hospital from November 2013 to June 2014 were selected as research subjects,and 22 normal persons were selected as the control group.All people were given col-or Doppler ultrasonography of bilateral carotid artery,the difference of carotid intima-media thickness of carotid artery in different groups was compared. Results 144 cases of patients with cardiovascular and cerebrovascular diseases, 50.69% of the patients were detected carotid artery intima-media structure abnormalities,and the detection rate of hy-pertension complicated with coronary heart disease was higher,which was 63.33%.The value of carotid intima-media thickness in the patients group was higher than that in the control group,with significant difference (P﹤0.05).There was no significant difference in the carotid intima-media thickness in the carotid bulb,proximal carotid artery bifurcation 1 cm and the proxima internal carotid artery (P>0.05). Conclusion Carotid intima-media thickness can provide the basis for clinical diagnosis and treatment of cardiovascular and cerebrovascular disease.