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颈动脉超声检查在缺血性脑卒中患者中的应用价值分析

Application of carotid ultrasonography in patients with ischemic stroke

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目的:探讨颈动脉超声检查在缺血性脑卒中患者中的应用价值.方法:选取 2023 年 1 月—12 月在北京市海淀区温泉镇社区卫生服务中心就诊的 106 例缺血性脑卒中患者(设为观察组),以及同期进行健康体检的 106 名体检者(设为对照组)为研究对象,均进行颈动脉超声检查,对比两组研究对象颈动脉内中膜指标、颈动脉狭窄程度、内-中膜厚度(IMT)及峰值流速(PSV)、舒张末期流速(EDV)、阻力指数(RI)等颈动脉血流动力学指标.结果:观察组研究对象内中膜正常率低于对照组,内中膜增厚率、斑块形成率以及双侧斑块、多发斑块比例高于对照组,差异有统计学意义(P<0.05);观察组研究对象颈动脉狭窄率以及重度狭窄与完全闭塞比例高于对照组,差异有统计学意义(P<0.05);观察组研究对象IMT大于对照组、管腔内径小于对照组,且颈总动脉PSV与EDV低于对照组、RI高于对照组,差异有统计学意义(P<0.05).结论:颈动脉超声检查在缺血性脑卒中患者中的应用效果显著,能有效检测出颈动脉粥样斑块并确定斑块性质,明确颈动脉狭窄程度及血流动力学相关情况,为该类患者的诊断及病情评估提供可靠依据.
Objective To investigate the application of carotid ultrasound in patients with ischemic stroke.Methods A total of 106 patients with ischemic stroke who were treated in Beijing Haidian District Wenquan Town Community Health Service Center from January to December 2023 were selected as the observation group,and 106 healthy subjects during the same period were selected as the control group.Carotid artery ultrasonography was performed.Carotid intima-media index,carotid artery stenosis degree,intima-media thickness(IMT)and carotid hemodynamics[peak systolic velocity(PSV),end-diastolic velocity(EDV),resistance index(RI)]were compared between the two groups.Results The normal rate of the inner media membrane in the observation group was lower than that in the control group,the thickening rate and plaque formation rate of the inner media membrane were higher than that in the control group,and bilateral plaques and multiple plaques were more common(P<0.05).The rate of carotid artery stenosis in the observation group was significantly higher than that in the control group,and the rates of mild,moderate,severe stenosis and complete occlusion were higher(P<0.05).The IMT of observation group was higher than that of control group,the lumen diameter was lower than that of control group,the common carotid artery PSV and EDV were lower than that of control group,and RI was higher than that of control group(P<0.05).Conclusion Carotid ultrasound has significant effect in patients with ischemic stroke,which can effectively detect carotid atherosclerotic plaque,clarify the degree of carotid artery stenosis,analyze the properties of plaque,and measure carotid blood flow dynamics,providing a reliable basis for the diagnosis and evaluation of ischemic stroke.

Ischemic strokeCarotid ultrasoundApplication effect

史翠红

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北京市海淀区温泉镇社区卫生服务中心医学影像科 北京 100089

缺血性脑卒中 颈动脉超声 应用效果

2024

影像研究与医学应用

影像研究与医学应用

ISSN:
年,卷(期):2024.8(11)
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