国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
8期
1039-1042
,共4页
颈动脉超声检查%阵发性室上性心动过速%高血压
頸動脈超聲檢查%陣髮性室上性心動過速%高血壓
경동맥초성검사%진발성실상성심동과속%고혈압
Carotid ultrasonic examination%Paroxysmal supraventricular tachycardia%Hypertension
目的 探讨阵发性室上性心动过速合并高血压患者颈动脉超声检查的意义.方法 应用高频彩色多普勒超声对120例阵发性室上性心动过速合并高血压患者行颈动脉超声检查,测量颈动脉血管内径、内-中膜厚度.选取113例单纯性高血压患者为对照组.结果 阵发性室上性心动过速合并高血压患者的颈动脉斑块检出率、内-中膜增厚率分别为82.5％和75.4％,与单纯高血压组的30.7％和41.3％比较,差异有统计学意义;在左、右侧内-中膜厚度方面,前者分别为(0.96±0.13) mm和(0.98±0.10) mm,与单纯高血压组的(0.68±0.07) mm和(0.70±0.08) mm比较,差异有显著统计学意义(P＜0.01);在左、右侧颈总动脉内径方面,前者分别为(0.77±0.12)mm和(0.73±0.10) mm,与单纯高血压组的(0.68±0.06) mm和(0.69 ± 0.07) mm比较,差异无统计学意义(P＞0.05).结论 阵发性室上性心动过速合并高血压患者颈动脉粥样硬化发生率增高.
目的 探討陣髮性室上性心動過速閤併高血壓患者頸動脈超聲檢查的意義.方法 應用高頻綵色多普勒超聲對120例陣髮性室上性心動過速閤併高血壓患者行頸動脈超聲檢查,測量頸動脈血管內徑、內-中膜厚度.選取113例單純性高血壓患者為對照組.結果 陣髮性室上性心動過速閤併高血壓患者的頸動脈斑塊檢齣率、內-中膜增厚率分彆為82.5％和75.4％,與單純高血壓組的30.7％和41.3％比較,差異有統計學意義;在左、右側內-中膜厚度方麵,前者分彆為(0.96±0.13) mm和(0.98±0.10) mm,與單純高血壓組的(0.68±0.07) mm和(0.70±0.08) mm比較,差異有顯著統計學意義(P＜0.01);在左、右側頸總動脈內徑方麵,前者分彆為(0.77±0.12)mm和(0.73±0.10) mm,與單純高血壓組的(0.68±0.06) mm和(0.69 ± 0.07) mm比較,差異無統計學意義(P＞0.05).結論 陣髮性室上性心動過速閤併高血壓患者頸動脈粥樣硬化髮生率增高.
목적 탐토진발성실상성심동과속합병고혈압환자경동맥초성검사적의의.방법 응용고빈채색다보륵초성대120례진발성실상성심동과속합병고혈압환자행경동맥초성검사,측량경동맥혈관내경、내-중막후도.선취113례단순성고혈압환자위대조조.결과 진발성실상성심동과속합병고혈압환자적경동맥반괴검출솔、내-중막증후솔분별위82.5％화75.4％,여단순고혈압조적30.7％화41.3％비교,차이유통계학의의;재좌、우측내-중막후도방면,전자분별위(0.96±0.13) mm화(0.98±0.10) mm,여단순고혈압조적(0.68±0.07) mm화(0.70±0.08) mm비교,차이유현저통계학의의(P＜0.01);재좌、우측경총동맥내경방면,전자분별위(0.77±0.12)mm화(0.73±0.10) mm,여단순고혈압조적(0.68±0.06) mm화(0.69 ± 0.07) mm비교,차이무통계학의의(P＞0.05).결론 진발성실상성심동과속합병고혈압환자경동맥죽양경화발생솔증고.
Objective To explore the significance of carotid ultrasonography in patients with paroxysmal supraventricular tachycardia and hypertension.Methods 120 cases of paroxysmal supraventricular tachycardia and hypertension underwent high-frequency color Doppler ultrasound to measure carotid artery diameter and intima-media thickness (IMT).Selected 113 cases of simple hypertension as the control group.Results Incidences of carotid artery plaque and thickening IMT of patients with paroxysmal supraventricular tachycardia and hypertension were 82.5％ and 75.4％ respectively,significantly higher than 30.7％ and 41.3％of the control group (P ＜ 0.05).Left and right IMT of patients with paroxysmal supraventricular tachycardia and hypertension were (0.96 ± 0.13) mm and (0.98 ± 0.10) mm,significantly different from (0.68 ± 0.07) mm and (0.70 ± 0.08) mm of the control group (P ＜ 0.01).Left and right carotid artery diameter of patients with paroxysmal supraventricular tachycardia and hypertension were (0.77 ± 0.12) mm and (0.73 ± 0.10) mm,those of the control group were (0.68 ± 0.06) mm and (0.69 ± 0.07) mm,without statistically significant difference (P ＞ 0.05).Conclusion The incidence of carotid atherosclerosis in patients with paroxysmal supraventricular tachycardia and hypertension increased.
