Objective To investigate the relationship between carotid color ultrasonography and brachial-ankle pulse wave velocity (BaPWV) in diagnosis of arteriopathy. Methods Carotid ultrasonography and BaPWV were conducted in 2248 physical check-ups and the results were compared. Results BaPWV was in a range of 1000-1300 cmA in 784 patients, among whom, 47(5.99% ) were diagnosed as having carotid artherosclerosis by ultrasonography; BaPWV was in the range of 1300-1400 cm/s in 476 patients,among whom, 138(28.99% ) were diagnosed as having carotid artherosclerosis by ultrasonography; BaPWV was in the range of 1400-1600 cm/s in 637 patients,among whom, 385(60.44%) were diagnosed as having carotid artherosclerosis by ultrasonography; BaPWV was in the range of 1600-1800 cm/s in 229 patients,among whom, 191(83.41% ) were diagnosed as having carotid artherosclerosis by ultrasonography; BaPWV was above 1800 cm/s in 112 patients, among whom, 94(77.05%) were diagnosed as having carotid artherosclerosis by ultrasonography. BaPWV was positively related to carotid artherosclerosis (x2 =727.56, P =0.0001). Conclusion BaPWV is related to carotid artherosclerosis, and can be used in diagnosis of early arteriopathy.%观察颈动脉彩超与肱踝脉搏波速度( BaPWV)诊断动脉血管病变的相关性.方法 对2248例体检人员进行双侧颈动脉彩超检查及BaPWV测定,并对两项结果进行相关分析.结果 BaPWV在1000 ～ 1300 cm/s的784例中,超声诊断为颈动脉粥样硬化47例,占5.99％；BaPWV在1300～1400 cm/s的476例中,超声诊断为颈动脉粥样硬化138例,占28.99％；BaPWV在1400 - 1600 cm/s的637例中,超声诊断为颈动脉粥样硬化385例,占60.44％；BaPWV在1600～1800 cm/s的229例中,超声诊断为颈动脉粥样硬化191例,占83.41％；BaPWV＞ 1800 cm/s的112例中,超声诊断为颈动脉粥样硬化94例,占77.05％.BaPWV与颈动脉粥样硬化呈正相关(X2=727.56,P=0.0001).结论 BaPWV与颈动脉粥样硬化有明显的相关性,可作为临床判断血管病变的早期检测手段.
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