临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
1期
43-45
,共3页
脑梗死%超声弹性成像%颈动脉斑块稳定性
腦梗死%超聲彈性成像%頸動脈斑塊穩定性
뇌경사%초성탄성성상%경동맥반괴은정성
Cerebral infarction%Ultrasound elasticity imaging%Carotid artery plaque stability
目的：探讨超声弹性成像技术（UE）在评估脑梗死病人颈动脉斑块稳定性的临床应用价值。方法2012年6月至2013年12月经确诊的、初发的脑梗死病人共43例。于疾病平稳后5 d 内，根据临床医生的要求并结合患者/家属意愿，采用超声（对照组）或联合弹性成像技术（观察组）评估患者颈动脉斑块的稳定性；同时，临床医生对每一患者进行了 ESSEN 卒中风险评分量表的评分。结果成功筛选并纳入对照组的患者有20例，观察组患者有23例。两组患者的 ESSEN 卒中风险评分无统计学差异（ P ﹥0.05）；观察组的颈动脉斑块检出率91.3％（其中 UE 评分≥5分例数占90.5％），而对照组颈动脉斑块检出率是60.0％，两组结果具有统计学差异（ P ﹤0.05）；观察组 UE 评分≥5分患者的ESSEN 风险评分显著高于 UE 评分5分以下患者。结论超声弹性成像技术能有效地评估脑梗死病人颈动脉斑块的稳定性，可以作为临床预测脑梗死病人再梗风险的辅助手段，具有积极肯定的临床意义。
目的：探討超聲彈性成像技術（UE）在評估腦梗死病人頸動脈斑塊穩定性的臨床應用價值。方法2012年6月至2013年12月經確診的、初髮的腦梗死病人共43例。于疾病平穩後5 d 內，根據臨床醫生的要求併結閤患者/傢屬意願，採用超聲（對照組）或聯閤彈性成像技術（觀察組）評估患者頸動脈斑塊的穩定性；同時，臨床醫生對每一患者進行瞭 ESSEN 卒中風險評分量錶的評分。結果成功篩選併納入對照組的患者有20例，觀察組患者有23例。兩組患者的 ESSEN 卒中風險評分無統計學差異（ P ﹥0.05）；觀察組的頸動脈斑塊檢齣率91.3％（其中 UE 評分≥5分例數佔90.5％），而對照組頸動脈斑塊檢齣率是60.0％，兩組結果具有統計學差異（ P ﹤0.05）；觀察組 UE 評分≥5分患者的ESSEN 風險評分顯著高于 UE 評分5分以下患者。結論超聲彈性成像技術能有效地評估腦梗死病人頸動脈斑塊的穩定性，可以作為臨床預測腦梗死病人再梗風險的輔助手段，具有積極肯定的臨床意義。
목적：탐토초성탄성성상기술（UE）재평고뇌경사병인경동맥반괴은정성적림상응용개치。방법2012년6월지2013년12월경학진적、초발적뇌경사병인공43례。우질병평은후5 d 내，근거림상의생적요구병결합환자/가속의원，채용초성（대조조）혹연합탄성성상기술（관찰조）평고환자경동맥반괴적은정성；동시，림상의생대매일환자진행료 ESSEN 졸중풍험평분량표적평분。결과성공사선병납입대조조적환자유20례，관찰조환자유23례。량조환자적 ESSEN 졸중풍험평분무통계학차이（ P ﹥0.05）；관찰조적경동맥반괴검출솔91.3％（기중 UE 평분≥5분례수점90.5％），이대조조경동맥반괴검출솔시60.0％，량조결과구유통계학차이（ P ﹤0.05）；관찰조 UE 평분≥5분환자적ESSEN 풍험평분현저고우 UE 평분5분이하환자。결론초성탄성성상기술능유효지평고뇌경사병인경동맥반괴적은정성，가이작위림상예측뇌경사병인재경풍험적보조수단，구유적겁긍정적림상의의。
Objective To investigate the clinical application value of UE on the stability of carotid plaques in the cerebral infarction pa-tients. Methods This observation is a prospective study. During June 2012 to Dec 2013 in our hospital,a total of 43 patients confirmed acute cer-ebral ischemic stroke for the first time were included in the study. Within the five days after acute stage,according to the requirements of clinicians and patients/ family ′s permission,the stability of carotid plaques of all patients was evaluated using ultrasonic(control group)or combine elasticity imaging(observation group);at the same time,the clinical doctors grade each patient with the stroke risk rating scale score of ESSEN(Essen Stroke Eisk Score). Results 20 patients were successful screened into the control group,and 23 cases into the observation group in total . There was no statistical difference in two groups of patients on the general information of sex,age,weight,blood pressure and the basic treatment meas-ures,and on the score of ESSEN( P ﹥ 0. 05). 91. 3% detection rate of carotid plaques(UE score of 5 cases or higher was 90. 5% )in observation group and 60% in control group were observed,the results is statistical difference( P ﹤ 0. 05). carotid plaques detection rate of patients in obser-vation group is positively correlated with ESSEN score,that is to say ,the higher detection rate is ,the higher ESSEN score;the rate of UE score≥5 was higher than that of UE score ≤5 in significantly difference( P ﹤ 0. 05). Conclusion Ultrasound elasticity imaging technique(UE)can effectively evaluate the stability of carotid plaques of cerebral infarction patients,which can be used as a clinical prediction of infarction risk in cere-bral infarction patients and,and it has positive clinical significance.
