彩色多普勒超声诊断脑血管病患者颈动脉硬化的效果

Color Doppler Ultrasound Diagnosis of Carotid Arteriosclerosis in Patients with Cerebrovascular Disease

目的:研究分析彩色多普勒超声诊断脑血管病患者颈动脉硬化的效果。方法:选择2018年12月~2019年12月本院收治的脑血管病颈动脉硬化患者50例作为观察组,同期选择到本院健康体检且结果没有脑血管病颈动脉硬化的志愿者50例作为对照组。同时给予100例研究对象彩色多普勒超声诊断,分析两组研究对象的颈动脉内膜中层厚度以及颈动脉硬化斑块情况,判断彩色多普勒超声诊断在临床中的使用价值。结果:观察组患者的左颈动脉内膜中层厚度明显高于对照组,组间差异具有统计学意义(P<0.05);观察组患者的右颈动脉内膜中层厚度明显高于对照组,组间差异具有统计学意义(P<0.05);观察组患者中检测出56个斑块,对照组志愿者检测出6个斑块,观察组的不同斑块检出率均高于对照组,组间差异具有统计学意义(P<0.05)。结论:彩色多普勒超声诊断对脑血管病患者的疾病诊断中,可以有效检测出颈动脉硬化患者的颈动脉内膜中层厚度以及颈动脉硬化斑块的数量情况,为诊断出脑血管疾病有重要的作用,为后续疾病治疗提供病情参数。

Objective:To study and analyze the effect of color Doppler ultrasound in diagnosing carotid atherosclerosis in patients with cerebrovascular disease.Methods:Researchers selected 50 patients with cerebrovascular disease and carotid atherosclerosis who were admitted to our hospital from December 2018 to December 2019 as the study group.At the same time,50 patients were selected for physical examination in our hospital and there were no patients with cerebrovascular disease.Volunteers with carotid atherosclerosis served as the reference group.At the same time,100 subjects were diagnosed with color Doppler ultrasound.The carotid intima-media thickness and carotid atherosclerotic plaques of the two groups of subjects were analyzed to determine the clinical value of color Doppler ultrasound diagnosis.Results:The intima-media thickness of left carotid artery in the observation group was significantly higher than that in the control group(P<0.05);The intima-media thickness of right carotid artery in the observation group was significantly higher than that in the control group(P<0.05);56 plaques were detected in patients in the observation group,and 6 plaques were detected in volunteers in the control group.The detection rates of different plaques in the observation group were higher than those in the control group,with statistically significant differences between groups(P<0.05).Conclusion:In the diagnosis of cerebrovascular disease in patients with cerebrovascular disease,color Doppler ultrasound can effectively detect the carotid intima-media thickness and the number of carotid atherosclerotic plaques in patients with carotid atherosclerosis.It is useful for diagnosing cerebrovascular disease.It plays an important role in providing disease parameters for subsequent disease treatment.