超声技术在老年心血管病患者颈动脉粥样硬化评估中的应用

Application of ultrasound technology in the assessment of carotid atherosclerosis in elderly patients with cardiovascul lar disease

目的探讨超声技术在老年心血管病患者颈动脉粥样硬化评估中的应用效果。方法选取2021年2—11月滨海县中医院收治的96例老年心血管病患者,设定为观察组;同期健康体检老年人96例,设定为对照组。采用超声对2组颈总动脉粥样硬化程度、颈动脉狭窄程度、颈动脉不同部位血流量进行测量。结果与对照组比较,观察组斑块面积、斑块积分、颈动脉内膜中层厚度(IMT)明显上升,差异有统计学意义(P<0.05);与对照组比较,观察组椎动脉(VA)、双侧总动脉(CCA)、颈内动脉(ICA)处狭窄程度更严重,差异有统计学意义(P<0.05);与对照组比较,观察组VA、CCA、ICA及脑血流量均降低,差异有统计学意义(P<0.05)。结论超声技术应用于老年心血管病患者中,可对颈动脉粥样硬化程度进行有效评估,在病情及预后评估中具有较高的应用价值。

Objective To explore the application of ultrasound technology in the assessment of carotid atherosclerosis in elderly patients with cardiovascular disease.Methods From February 2021 to November 2021,96 elderly patients with cardiovascular disease were selected and set as the observation group;and 96 elderly patients with healthy physical examinations during the same period were selected and set as the control group.The degree of common carotid atherosclerosis,the degree of carotid stenosis,and the blood flow in different parts of the carotid artery were measured by ultrasound.ResultsCompared with the control group,the plaque area,plaque score and carotid intima-media thickness(IMT)in the observation group were significantly increased,and the difference was statistically significant(P<0.05).(VA),bilateral common arteries(CCA),and internal carotid arteries(ICA)were more severely stenotic,and the difference was statistically significant(P<0.05).Blood flow was decreased,and the dfference was statistically significant(P<0.05).Conclusion The application of ultrasound technology in elderly patients with cardiovascular disease can effectively evaluate carotid atherosclerosis,and has high application value in the evaluation of patients'condition and prognosis.