颈部血管超声对脑卒中功能早期改变的评估价值探讨

Evaluation of cervical vascular ultrasound in early changes of stroke function

目的探讨颈部血管超声对脑卒中功能早期改变的评估价值。方法选取2018年4月~2019年5月我院收治的脑卒中患者85例作为研究组;另选取同期来我院住院治疗的非脑部疾病患者85例作为对照组。观察比较两组的IMT增厚比率及斑块检出比率;两组斑块的形态、钙化及溃疡比率;两组的斑块回声情况;两组超声检查颈部血管的狭窄程度。结果研究组IMT增厚比率显著高于对照组(P<0.05),研究组斑块检出比率及斑块检出个数均高于对照组(P<0.05);研究组斑块溃疡比率、钙化比率及形态不规则比率显著高于对照组(P<0.05);两组在斑块回声方面的表现有显著差异(P<0.05),研究组斑块回声主要表现为不均质回声,而对照组则主要表现为均质回声;研究组颈部血管的狭窄程度显著高于对照组(P<0.05)。结论对脑卒中患者进行颈部血管超声检查,能够有效的评估患者功能早期改变情况,为临床治疗干预提供更多参考资料。

Objective To evaluate cervical vascular ultrasound in early changes of stroke function.Methods 85 stroke patients admitted to our hospital from April 2018 to May 2019 were selected as the study group;85 patients without brain disease admitted to our hospital in the same period were selected as the control group.IMT thickening ratio,plaque detection ratio,plaque morphology,calcification,ulcer ratio,plaque echo,and the stenosis degree of neck blood vessels were observed and compared between the two groups.Results The IMT thickening ratio,plaque detection ratio and number,calcification,ulcer ratio,morphological irregularity ratio and the stenosis degree of neck blood vessels in the study group were significantly higher than those in the control group(P<0.05).There was statistical difference in plaque echo between the two groups(P<0.05);in the study group,the plaque echo was mainly heterogeneous,while in the control group,it was homogeneous.Conclusion Ultrasound examination of neck vessels can effectively evaluate the early changes of patients'function,so as to provide more references for clinical treatment and intervention.