超声评价颈动脉斑块与脑梗塞的临床意义分析

Analysis of Clinical Significance of Carotid Plaque and Cerebral Infarction Evaluated by Ultrasound

目的分析探讨超声在颈动脉斑块与脑梗塞关系之间的探讨及评价中的作用。方法该次纳入该院在2018年2月—2019年1月接受诊治的脑梗塞患者100例作为研究的观察对象设为脑梗塞组;另取同期非脑血管病患者一共100例作为研究的对照对象,设为非脑血管病组;两组患者均实施彩色多普勒超声诊断,然后对两组诊断结果进行对比评价。结果①在颈动脉硬化评分、颈动脉狭窄评分、颈动脉斑块评分方面,脑梗塞组分别为(1.48±0.21)分、(1.36±0.12)分、(1.65±0.15)分,均明显高于非脑血管病组患者的(0.41±0.26)分、(0.35±0.11)分、(0.56±0.18)分,两组之间的数据差异有统计学意义(t=5.683、5.237、5.728,P<0.05)。②脑梗塞组,在颈外动脉、颈内动脉分叉部位、颈内动脉、其他部位的颈动脉粥样斑块检出率分别为9.00%、60.00%、20.00%、6.00%,总检出率为95.00%;非脑血管病组,在颈外动脉、颈内动脉分叉部位、颈内动脉、其他部位的颈动脉粥样斑块检出率分别为4.00%、4.00%、3.00%、3.00%,总检出率为14.00%。脑梗塞组动脉粥样斑块检出率的95.00%,明显高于非脑血管病组检出率的14.00%,两组之间的数据差异有统计学意义(χ2=10.235,P<0.05)。结论颈动脉斑块在提示脑梗塞病变方面具备一定的参考价值,通过超声诊断可评价脑梗塞患者的颈动脉斑块情况,为脑梗塞患者进一步的诊疗提供客观、科学的参考依据;因此,具备推广及使用的价值。

Objective To analyze the role of ultrasound in the discussion and evaluation of the relationship between carotid plaque and cerebral infarction.Methods A total of 100 patients with cerebral infarction who were diagnosed and treated in the hospital from February 2018 to January 2019 were included in the cerebral infarction group.A total of 100 patients with non-cerebrovascular disease were selected as the control of the study.The subjects were set as non-cerebrovascular disease group;both groups of patients were diagnosed with color Doppler ultrasound,and then the diagnostic results of the two groups were compared and evaluated.Results 1.In terms of carotid sclerosis score,carotid stenosis score,and carotid plaque score,the cerebral infarction group was(1.48±0.21) points,(1.36±0.12) points,and(1.65±0.15) points,all of which were significant.Compared with the non-cerebrovascular disease group,the scores were(0.41±0.26)points,(0.35±0.11)points,and(0.56±0.18)points.The data between the two groups were statistically significant different(t=5.683,5.237,5.728,P<0.05).2.In the cerebral infarction group,the detection rates of carotid atherosclerotic plaque in the external carotid artery,internal carotid artery bifurcation site,internal carotid artery,and other parts were 9.00%,60.00%,20.00%,and 6.00%,respectively.The detection rate was 95.00%;in the non-cerebrovascular disease group,the detection rates of carotid atherosclerotic plaques in the external carotid artery,internal carotid artery bifurcation site,internal carotid artery,and other parts were 4.00%,4.00%,and 3.00%,3.00%,the total detection rate was 14.00%.The detection rate of atherosclerotic plaque in the cerebral infarction group was 95.00%,which was significantly higher than the detection rate of 14.00% in the non-cerebrovascular disease group.The data between the two groups were statistically significant different(χ2=10.235,P<0.05).Conclusion Carotid plaque has a certain reference value in suggesting cerebral infarction lesions.Carotid plaque in patients with cerebral infarction can be evaluated by ultrasound diagnosis,and it can provide objective and scientific reference for further diagnosis and treatment of patients with cerebral infarction,which is worth promotion and use value.