分析彩色多普勒超声检查颈动脉斑块与冠心病关系的临床价值

Analysis on clinical value of Color Doppler ultrasonography in detecting carotid plaque and its relation with coronary heart disease

目的总结彩色多普勒超声检查颈动脉斑块与冠心病的关系,进而为冠心病的诊断提供依据。方法观察组为我院2017年1月～2018年10月收治的115例冠心病患者,对照组为同一时间自愿参与的115名健康人员,均实施彩色多普勒超声检查颈动脉斑块检查,回顾分析两组人员检查结果。结果观察组斑块形成率为59.13%,显著高于对照组8.69%的斑块形成率,差异有统计学意义(P <0.05);观察组内膜-中层厚度(IMT)以及斑块积分均大于对照组,差异有统计学意义(P <0.05);观察组不同斑块分型发生情况均显著高于对照组,差异有统计学意义(P <0.05);冠心病患者经过规范治疗后其IMT明显下降,差异有统计学意义(P <0.05)。结论彩色多普勒超声检查颈动脉斑块可作为冠心病诊断的重要方法,通过前期彩色多普勒超声检查颈动脉斑块可为冠心病的早期预防与诊治提供依据,值得临床推广应用。

Objective To summarize the relationship between carotid plaque detected by color Doppler ultrasonography and coronary heart disease so as to provide evidence for the diagnosis of coronary heart disease. Methods 115 patients with coronary heart disease who were admitted to our hospital from January 2017 to October 2018 were selected as the observation group.115 healthy volunteers who participated at the same time were selected as the control group.They all underwent color Doppler ultrasonography for carotid plaque examination. The examination results of the two groups were analyzed retrospectively. Results The plaque formation rate was 59.13% in the observation group,which was significantly higher than 8.69% in the control group.The difference was statistically significant (P < 0.05).The intima-media thickness (IMT) and plaque scores of the observation group were greater than those of the control group.The data comparison was statistically significant (P < 0.05).The incidence of different plaque typing in the observation group was significantly higher than that in the control group and the data comparison was statistically significant (P < 0.05).After standard treatment,the IMT of patients with coronary heart disease decreased significantly,and the difference was statistically significant (P < 0.05). Conclusion Carotid plaque detected by color Doppler ultrasonography can be used as an important method for the diagnosis of coronary heart disease.Early color Doppler ultrasound examination of carotid artery plaque can provide a basis for the early prevention,diagnosis and treatment of coronary heart disease,which is worthy of clinical promotion and application.