中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
12期
1283-1284
,共2页
动脉粥样硬化%颈动脉%超声检查,多普勒,彩色
動脈粥樣硬化%頸動脈%超聲檢查,多普勒,綵色
동맥죽양경화%경동맥%초성검사,다보륵,채색
Atherosclerosis%Carotid arteries%Ultrasonography,doppler,color
目的 观察老年患者动脉弹性与颈动脉斑块超声分型的关系. 方法 选取我院201 0年2月至201 2年2月体检的682例老年患者,对颈动脉超声情况、左右侧臂踝脉搏波传导速度进行分析. 结果 682例患者颈动脉粥样硬化斑块186例,占27.3％,其中硬斑组123例,占18.0％,软斑组63例,占9.2％.1、2、3级患者颈动脉内中膜(IMT)厚度为(0.8±0.2)mm、(0.88±0.23)mm、(0.97±0.17)mm(P＝0.029).Spearman等级相关分析显示,颈动脉斑块等级与脉搏波传导速度呈正相关(r=0.30,P＜0.05),而软斑组未显示两者具有相关性. 结论 动脉弹性与颈动脉粥样硬化严重程度密切相关,可作为预测颈动脉粥样硬化程度的指标之一.
目的 觀察老年患者動脈彈性與頸動脈斑塊超聲分型的關繫. 方法 選取我院201 0年2月至201 2年2月體檢的682例老年患者,對頸動脈超聲情況、左右側臂踝脈搏波傳導速度進行分析. 結果 682例患者頸動脈粥樣硬化斑塊186例,佔27.3％,其中硬斑組123例,佔18.0％,軟斑組63例,佔9.2％.1、2、3級患者頸動脈內中膜(IMT)厚度為(0.8±0.2)mm、(0.88±0.23)mm、(0.97±0.17)mm(P＝0.029).Spearman等級相關分析顯示,頸動脈斑塊等級與脈搏波傳導速度呈正相關(r=0.30,P＜0.05),而軟斑組未顯示兩者具有相關性. 結論 動脈彈性與頸動脈粥樣硬化嚴重程度密切相關,可作為預測頸動脈粥樣硬化程度的指標之一.
목적 관찰노년환자동맥탄성여경동맥반괴초성분형적관계. 방법 선취아원201 0년2월지201 2년2월체검적682례노년환자,대경동맥초성정황、좌우측비과맥박파전도속도진행분석. 결과 682례환자경동맥죽양경화반괴186례,점27.3％,기중경반조123례,점18.0％,연반조63례,점9.2％.1、2、3급환자경동맥내중막(IMT)후도위(0.8±0.2)mm、(0.88±0.23)mm、(0.97±0.17)mm(P＝0.029).Spearman등급상관분석현시,경동맥반괴등급여맥박파전도속도정정상관(r=0.30,P＜0.05),이연반조미현시량자구유상관성. 결론 동맥탄성여경동맥죽양경화엄중정도밀절상관,가작위예측경동맥죽양경화정도적지표지일.
Objective To observe the relationship between carotid artery elasticity and ultrasonic classification of carotid plaques in elderly patients,and to provide the clinical basis for clinical treatment and prevention of atheroselerosis.Methods 682 elderly patients undergoing health physical examination were randomly selected in our hospital from February 2010 to February 2012.Clinical data were surveyed by using questionnaire method.Carotid artery color Doppler ultrasound detection and brachial-ankle pulse wave velocity (PWV) were measured and analyzed.The relationship between carotid artery elasticity and ultrasonic classification of carotid plaques in elderly patients were evaluated.Results A total of 186 cases with carotid atherosclerotic plaques (CAP) were found in 682 cases,accounting for 27.3％,among whom there were 123 patients (18.0％) with hard plaques and 63 patients (9.2％) with soft plaques.Patients with CAP were divided into hard plaque group and soft plaque group.There were significant differences in carotid intima media thickness (IMT) among carotid plaque grade 1 versus 2 versus 3[(0.8±0.2)mm,(0.88±0.23)mm,(0.97±0.17) mm,respectively,P＜0.05].There was a positive correlation between PWV and carotid plaque grade in the hard plaque group (r＝0.30,P＜0.05),but not in soft plaque group.Conclusions Arterial elasticity is an index for vascular disease,and is closely related to the severity of carotid atherosclerosis,which can be used as one of predictive indexes for carotid atherosclerosis.
