高血压患者颈部动脉粥样硬化的超声应用研究〔1〕

摘要

Objective:To explore the clinical effect of ultrasonic testing for high blood pressure in patients with cervical atherosclerosis. Methods:From August 2015 to March 2016,43 hypertension cases were selected. 43 cases age - matched healthy subjects as control group,the carotid artery was detected by ultrasonography in both groups. Results:In the observation group,the common carotid artery diameter( CADIA)enlarged and the common carotid arterial thickness( CAIMT)was thick-ened. There was a positive correlation between the above phenomenon and the patient's age and disease. The plaque relevance ratio was 79. 06﹪,was significantly higher than the control group(30. 23﹪),the difference was statistically significant(P﹤0. 05). The rate of plaque in hypertensive patients of period 3 was 100. 00﹪. Conclusion:Ultrasonic examination can quickly obtain CADIA and CAIMT abnormality in hypertensive patients. At the same time,abnormalities of these two indexes may indi-cate arteriosclerosis in the patients. The number,characteristics and size of the plaque can reflect pathological change of arterio-sclerosis symptom.%目的：探究使用超声检测高血压患者的颈部动脉粥样硬化的临床效果。方法：选取2015年8月—2016年3月收治的43例高血压患者为观察组，选取43例同龄健康者为对照组，均使用超声检测方法进行颈动脉检测。结果：观察组患者的颈总动脉内径（ CADIA）有扩大现象，颈总动脉内-中膜厚度（ CAIMT）有明显增厚现象，上述现象与患者的年龄、病期之间呈现正相关性。观察组斑块查出率为（79.06﹪）明显高于对照组（30.23﹪），差异有统计学意义（P﹤0.05）。其中高血压3期患者的斑块查出率为100.00﹪。结论：通过超声检测，可快速获取高血压患者的CA-DIA、CAIMT异常现象，同时这两项指标出现异常时可提示患者身体出现动脉硬化情况，而斑块的数量、特征、大小能够反映出患者动脉硬化症状的病变程度。