颈动脉彩色多普勒超声检查在脑梗死中的临床价值

Clinical value of carotid artery color Doppler ultrasonography in cerebral infarction

目的探讨颈动脉彩色多普勒超声检查在脑梗死中的临床价值。方法选择2021年7—12月本院收治的86例脑梗死患者作为观察组,将同期接受检查的86例非脑梗死患者作为对照组,两组均实施颈动脉超声检查,观察两组受检者颈动脉内中膜厚度(IMT)、斑块检出情况、易损斑块与稳定斑块检出情况,两组颈动脉狭窄发生率,进行对比分析。结果观察组颈动脉IMT值明显高于对照组,组间差异具有统计学意义(P<0.01),检出斑块例数明显高于对照组,组间差异具有统计学意义(P<0.01),斑块总量、易损斑块较对照组占比大,组间差异具有统计学意义(P<0.01);观察组颈动脉狭窄率显著高于对照组,组间具有统计学意义(P<0.01);观察组PSV、RI普遍大于对照组,EDV小于对照组,三组数据分析具有统计学意义(P<0.01)。结论颈动脉彩色多普勒超声检查在脑梗死疾病中具有较高临床价值,有利于临床医生根据颈动脉内中膜厚度、斑块性质和动脉狭窄情况,为患者疾病治疗提供可靠依据,有重要临床意义。

Objective To investigate the clinical value of carotid artery color Doppler ultrasonography in cerebral infarction.Methods 86 patients with cerebral infarction who had been admitted to our hospital from July 2021 to December 2021 were randomly selected as the observation group,and another group of 86 patients of non-cerebral infarction were selected as the control group.All patients received carotid artery color Doppler ultrasonography.Carotid intima-media thickness(IMT),detection of plaque,detection of vulnerable plaque and stable plaque,the incidence of carotid artery stenosis in the two groups were observed,compared and analyzed.Results The IMT value of carotid artery in the observation group was significantly higher than that in the control group(P<0.01).The number of plaques in the observation group was significantly higher than that in the control group(P<0.01).The total number of plaque and the proportion of vulnerable plaque in the observation group was higher than that in the control group(P<0.01).The rate of carotid artery stenosis in the observation group was significantly higher than that in the control group(P<0.01).The PSV and RI of the observation group were generally larger than those of the control group,and the EDV was lower than that of the control group(P<0.01).Conclusions Color Doppler ultrasonography on carotid artery has high clinical value in cerebral infarction,which is helpful for clinicians to provide reliable basis for the treatment of patients according to carotid intima-media thickness,plaque nature and arterial stenosis.It has important clinical significance.