颈动脉超声在脑卒中风险预测中的应用价值

The application value of carotid ultrasound in predicting the risk of stroke

目的:探讨颈动脉内膜中层厚度(intima-media thickness,IMT)、斑块等指标在预测脑卒中发病风险的价值。方法:选取2019年5月—2019年10月来山东电力中心医院体检的1295人,进行脑血流动力学指标和颈动脉超声等检测,根据脑血流动力学指标(cerebral vascular hemodynamic index,CVHI)积分值分为健康组和脑卒中风险组,比较各组间的生理、生化及颈动脉超声等指标差异。结果:颈动脉内膜中层厚度及斑块在健康组与风险组间差异均有统计学意义(P<0.05);BMI、收缩压、舒张压、脉压、空腹血糖、尿素氮指标在两组间也有统计学差异(P<0.05)。结论:定期颈动脉超声检查,监测内膜厚度和斑块,可预防脑卒中的发生。

Objective Analyze the differences in indicators such as carotid intima-media thickness(IMT)and plaque between people at risk of stroke and healthy people,and explore the role of indicators such as carotid intima-media thickness and plaque in predicting the risk of stroke value.Methods From May to October 2019,1295 people came to Shandong Electric Power Central Hospital for physical examination,and were tested for cerebral hemodynamic indexes and carotid artery ultrasound.According to the score of cerebral vascular hemodynamic index(CVHI),they were classified as healthy Compare the physiological,biochemical and carotid ultrasound index differences between the groups and the stroke risk group.Results The carotid artery intima-media thickness and plaque were significantly different between the healthy group and the risk group(P<0.05);BMI,systolic blood pressure,diastolic blood pressure,pulse pressure,fasting blood glucose,urea There were also statistical differences in nitrogen indicators between the two groups(P<0.05).Conclusion Regular carotid ultrasound examinations to monitor intimal thickness and plaque to prevent the risk of stroke.