颈部血管超声检查在缺血性脑血管疾病中的应用研究

Application of Cervical Ultrasound Examination in Ischemic Cerebrovascular Disease

目的分析在对缺血性脑血管疾病行颈部血管超声检查的效果。方法对该院在2016年3月—2019年6月收治的90例缺血性脑血管疾病患者进行研究,将其作为观察组。将同期在该院进行体检的90名健康人作为对照组,两组患者均进行颈部血管超声检查,分析对缺血性脑血管疾病行颈部血管超声检查的效果。结果与对照组(33.33%)相比,观察组患者的颈动脉粥样硬化斑块率(72.22%)明显更高,差异有统计学意义(χ^(2)=27.306,P<0.05);观察组患者颈内动脉中膜厚度增厚率(86.67%)明显高于对照组(27.78%),差异有统计学意义(χ^(2)=63.752,P<0.05);观察组患者颈动脉狭窄率(94.44%)明显高于对照组(5.56%),差异有统计学意义(χ^(2)=147.740,P<0.05);观察组患者CBFV(522.98±57.62)mL/min明显低于对照组(696.65±81.42)mL/min,差异有统计学意义(t=16.518,P<0.05);观察组患者Vmean(20.52±1.14)cm/s明显低于对照组(25.13±1.47)cm/s,差异有统计学意义(t=23.510,P<0.05);观察组患者RI(0.68±0.05)明显高于对照组(0.59±0.06),差异有统计学意义(t=10.932,P<0.05)。结论缺血性脑血管疾病患者经颈部血管超声检查对患者自身与医护人员意义重大。

Objective To analyze the effect of cervical vascular ultrasound examination on ischemic cerebrovascular disease.Methods A study of 90 patients with ischemic cerebrovascular disease admitted to this hospital from March 2016 to June 2019 will be used as the observation group.90 healthy people who underwent physical examinations in the hospital during the same period were used as the control group.Both groups of patients underwent cervical vascular ultrasound examination to analyze the effect of cervical vascular ultrasound examination on ischemic cerebrovascular disease.Results Compared with the control group(33.33%),the observation group had a significantly higher carotid atherosclerotic plaque rate(72.22%),the difference was statistically significant(χ^(2)=27.306,P<0.05);the observation group had necks thickening rate of the internal artery media thickness(86.67%)was significantly higher than that of the control group(27.78%),the difference was statistically significant(χ^(2)=63.752,P<0.05);the carotid artery stenosis rate(94.44%)of the observation group was significantly higher than that of the control group(5.56%),the difference was statistically significant(χ^(2)=147.740,P<0.05);the CBFV(522.98±57.62)mL/min of the observation group was significantly lower than that of the control group(696.65±81.42)mL/min,the difference was statistically significant(t=16.518,P<0.05);Vmean(20.52±1.14)cm/s of the observation group was significantly lower than that of the control group(25.13±1.47)cm/s,the difference was statistically significant(t=23.510,P<0.05);while the observation group had a significant RI(0.68±0.05)was higher than the control group(0.59±0.06),the difference was statistically significant(t=10.932,P<0.05).Conclusion Cervical vascular ultrasound examination of patients with ischemic cerebrovascular disease is of great significance to the patients themselves and the medical staff.