脑卒中患者颈动脉超声诊断及结果分析

Ultrasonic Diagnosis and Result Analysis of Carotid Artery in Patients with Stroke

目的分析脑卒中患者颈动脉超声诊断及结果。方法 2017年7月—2018年3月期间,共选择该院收治的54例脑卒中患者作为研究对象,将其设为实验组,同时,选择同期到该院体检的54名健康者,设为对照组,均接受颈动脉超声检查,比较诊断结果。结果实验组37例检出斑块,13例单发斑块,24例多发斑块,对照组10例检出斑块,4例单发斑块,6例多发斑块,比较斑块检出率、单发斑块检出率及多发斑块检出率,组间差异有统计学意义(χ~2=50.875、10.479、27.702,P<0.01)。比较两组对象的血管内径,组间差异有统计学意义(t_左=19.127,t右=12.846,P<0.01)。比较内膜厚度,差异有统计学意义(t_左=32.863,t_右=17.321,P<0.01)。结论脑卒中,予以颈动脉超声诊断,有助于掌握斑块类型及分布状况,辅助疾病诊断,应用价值高。

Objective To analyze the ultrasonic diagnosis and results of carotid artery in stroke patients. Methods From July 2017 to March 2018, a total of 54 patients with stroke who were admitted to our hospital were selected as experimental subjects. The 54 patients were selected as the experimental group. At the same time, 54 healthy people who were examined in the hospital during the same period were selected. As a control group, all patients underwent carotid ultrasound and the results were compared. Results First, plaques were detected in 37 patients in the experimental group, 13 single plaques, 24 plaques, 10 plaques in the control group, 4 single plaques, and 6 plaques. The detection rate of plaques, the detection rate of single plaques, and the detection rate of multiple plaques were significantly different between groups（χ^2=50.875,10.479,27.702, P〈0.01）. Second, comparing the inner diameter of blood vessels in two groups of subjects, the difference between groups was significant（tleft= 19.127, tright= 12.846, P〈0.01）. Comparing intima thickness, the difference was significant and statistically significant（tleft= 32.863, tright= 17.321, P〈0.01）.Conclusion In the diagnosis of cerebral apoplexy, the diagnosis of carotid arteries is helpful for the diagnosis of the type and distribution of plaques and for the diagnosis of disease. It has a high application value.