摘要
目的:分析颈动脉超声检查在诊断缺血性脑卒中中的应用价值。方法:选择2018年11月至2019年11月期间重庆医科大学附属第一医院收治的40例缺血性脑卒中患者和同期在该医院进行体检的40例健康人作为研究对象。将40例缺血性脑卒中患者作为观察组,将40例健康人作为对照组。对两组研究对象均进行颈动脉超声检查。然后,比较两组研究对象颈动脉粥样硬化斑块的检出率、左侧颈动脉内中膜的厚度、右侧颈动脉内中膜的厚度及其颈动脉内存在斑块时其不稳定型颈动脉斑块的检出率。结果:与对照组健康人相比,观察组患者颈动脉粥样硬化斑块的检出率、颈动脉内存在斑块时其不稳定型颈动脉斑块的检出率均更高,其左侧颈动脉内中膜的厚度、右侧颈动脉内中膜的厚度均更厚,差异有统计学意义(P<0.05)。结论:颈动脉超声检查在诊断缺血性脑卒中中的应用价值较高。
Objective:To analyze the application value of carotid artery ultrasound in the diagnosis of ischemic stroke.Methods:40 patients with ischemic stroke admitted to the First Affiliated Hospital of Chongqing Medical University from November 2018 to November 2019 and 40 healthy people who underwent physical examination in the hospital during the same period were selected as study subjects.The observation group included 40 patients with ischemic stroke and the control group included 40 healthy people.Carotid ultrasound examination was performed in both groups.Then,the detection rate of carotid atherosclerotic plaque,the thickness of carotid intima in the left carotid artery,the thickness of carotid intima in the right carotid artery,and the detection rate of unstable carotid plaque in the presence of carotid plaque in the two groups were compared.Results:as compared to healthy controls,the observation group of patients with carotid atherosclerotic plaque detection rate,carotid artery plaque when its unstable carotid plaques detection rate are higher,and the left carotid artery intima-media thickness,on the right side of carotid intima-media thickness is thicker,the difference was statistically significant(P<0.05).Conclusion:Carotid artery ultrasonography is of great value in the diagnosis of ischemic stroke.
作者
曾筱琳
Zeng Xiaolin(Health Management Center,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016)
