颈动脉彩超监测脑梗死复发的临床价值

The clinical value of carotid artery color Doppler ultrasound in monitoring the recurrence of cerebral infarction

目的研究多普勒彩超对脑梗死患者颈动脉的斑块性质及血管狭窄变化,为脑梗死的复发提供诊断依据,做好提前预防。方法选择2018年12月—2020年1月本院收治的80例脑梗死患者作为研究对象,按病情分为初发对照组和复发研究组两组,每组各40例。采用多普勒彩超技术比较两组患者的颈动脉内膜厚度、血管狭窄程度及颈动脉斑块的性质。结果复发组患者的颈动脉内膜增厚、血管狭窄程度以及颈动脉斑块的不稳定性均高于初发组,差异具有统计学意义(P<0.05)。结论通过颈动脉彩超对脑梗死患者进行颈动脉病变的监测,能够及早预防脑梗死的复发,是一项值得临床推广的重要检查。

Objective To study the effect of color Doppler ultrasound on the changes of carotid artery plaque and vascular stenosis in patients with cerebral infarction,so as to provide diagnostic evidence for the recurrence of cerebral infarction and prevent it in advance.Methods Eighty patients with cerebral infarction admitted to our hospital from December 2018 to January 2020 were selected as study subjects and divided into the initial control group and the recurrence study group.The color Doppler ultrasound technique was used to compare the thickness of carotid artery intima,degree of vascular stenosis,and the nature of carotid plaque.Results The carotid artery intimal thickness,degree of vascular stenosis,and carotid plaque instability in the recurrence group were higher than those in the initial group(P<0.05).Conclusions Carotid artery disease monitoring in patients with cerebral infarction through carotid artery color Doppler ultrasound could prevent the recurrence of cerebral infarction as soon as possible.It is an important examination worthy of clinical promotion.