颈动脉超声评价冠状动脉粥样硬化性心脏病合并缺血性脑血管疾病患者颅内动脉狭窄性病变的预测价值分析

Prediction value of carotid artery stenosis in patients with coronary atherosclerotic heart disease complicated with ischemic cerebrovascular disease by carotid artery ultrasound

目的观察分析颈动脉超声评价冠状动脉粥样硬化性心脏病(CAD)合并缺血性脑血管疾病(ICVD)患者颅内动脉狭窄性病变的预测价值。方法从2015年4月—2016年4月期间该院收治的CAD合并ICVD患者中,随机选取180例纳入此研究领域中,均经血管造影确诊,采用颈动脉超声(即彩色多普勒超声和经颅多普勒超声联合)对颈动脉、颅内动脉进行检查,并分为动脉狭窄组、动脉非狭窄组,分析颈动脉超声检查结果。结果颈动脉超声检查发现颅内动脉狭窄患者多发斑块、不均质斑块、颈动脉内膜中层厚度(IMT)增厚、颈动脉狭窄比例较非狭窄组患者更高,多发斑块、不均质斑块、IMT增厚、颈动脉狭窄与CAD合并颅内动脉狭窄性病变具有相关性(P<0.05)。结论针对CAD合并ICVD患者实施颈动脉超声检查,可更加准确地筛选心脑血管高危人群,为疾病诊断、治疗提供科学依据,具有重要的临床应用价值。

Objective To evaluate the predictive value of carotid artery stenosis in patients with coronary atherosclerotic heart disease(CAD)with ischemic cerebrovascular disease(ICVD).Methods From April2015to April2016in our hospital,coronary heart disease and ischemic cerebrovascular patients,180patients,enrolled in this study,who were confirmed by angiography,using color Doppler ultrasound and transcranial Doppler ultrasound examination of carotid artery and intracranial artery,were randomly selected were divided into stenosis group,non artery stenosis group.The results of carotid artery ultrasound examination were analyzed.Results Compared with non-stenosis group,the incidence rate of intracranial arterial stenosis of multiple heterogeneous plaques,plaques,IMT thickening,carotid artery stenosis were higher by the carotid ultrasound,with the correlation of the multiple heterogeneous plaques,plaques,IMT thickening,carotid artery stenosis and coronary heart disease were correlated with CAD complicated with intracranial artery stenosis(P<0.05).Conclusions Implementing corresponding carotid artery ultrasonography on CAD complicated with ischemic cerebrovascular(ICVD)patients can provide more accurate screening of cardiovascular risk population,and scientific basis for disease diagnosis and treatment,and with important clinical value.