超声评价老年心血管病患者颈动脉粥样硬化的价值(1)
摘 要：目的 探讨超声对老年心血管病患者颈动脉粥样硬化的评价价值。方法 在我院2017年7月～2018年6月收治的老年心血管疾病患者中随机抽取76例设为观察组，随机抽取同期于我院行健康体检的76例老年人设为对照组。两组受检者均进行颈部超声检查，比较两组受检者的颈部血管动脉粥样硬化斑块面积、斑块积分以及IMT值，VA、CCA以及ICA部位、血流量及脑血流量。结果 观察组患者的斑块面积、斑块积分以及IMT值均高于对照组(P<0.05)；VA、CCA以及ICA部位的狭窄程度均较对照组严重(P<0.05)；VA、CCA以及ICA部位的血流量与脑血流量均比对照组小(P<0.05)。结论 超声评价老年心血管病患者颈动脉粥样硬化具有无创性、高效性以及操作简易等优点，可以掌握颈动脉粥样硬化疾病的不同状态，有利于老年患者病情发展与预后情况的判断，对临床工作有着重要指导作用。
关键词：超声；老年心血管病；颈动脉粥样硬化
中图分类号：R455.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.046
, 百拇医药
文章编号：1006-1959(2018)23-0158-03
Abstract：Objective To evaluate the value of ultrasound in the evaluation of carotid atherosclerosis in elderly patients with cardiovascular disease. Methods A total of 76 patients with cardiovascular disease admitted to our hospital from July 2017 to June 2018 were randomly selected as the study observation group. 76 elderly people who underwent physical examinations in our hospital during the same period were randomly selected as the study group， ultrasound examination was performed on both groups， The vascular atherosclerotic plaque area， plaque score， and IMT values， VA， CCA， and ICA sites， blood flow， and cerebral blood flow were compared between the two groups.Results The plaque area， plaque score， and IMT of the observation group were significantly higher than those of the control group(P<0.05). The stenosis degree of VA， CCA， and ICA was significantly Severe than that of the control group(P<0.05)；blood flow and cerebral blood flow in VA， CCA and ICA were significantly lower than those in the control group(P<0.05).Conclusion Ultrasound evaluation of carotid atherosclerosis in elderly patients with cardiovascular disease has significant value， which is conducive to the judgment of the development and prognosis of elderly patients. It is worthy of promotion.
, http://www.100md.com
Key words： Ultrasound；Elderly patients with cardiovascular disease；Carotid atherosclerosis
動脉粥样硬化(atherosclerosis，AS)属于一种全身性疾病，而颈动脉粥样硬化则是全身动脉粥样硬化的表现之一，也是对全身动脉粥样硬化病变情况的有效表现。颈动脉内膜-中层厚度(IMT)会因为年龄的增长而不断加多，对于相同年龄段的患者，疾病状态不同，动脉粥样硬化病变的范围与程度也有所差异。血管超声技术作为一种无创式检查已被临床大范围应用，其能够对心血管疾病患者的病变程度和预后情况进行准确评估[1]。本次研究通过对比患有心血管疾病的老年患者与健康老年人的超声诊断情况，探讨超声对老年心血管病患者颈动脉粥样硬化的评价价值。
1资料与方法
1.1一般资料 选择江西省会昌县中医院2017年6月～2018年7月收治的老年心血管疾病患者76例设为观察组，选择同期于我院行健康体检的76例老年人设为对照组。观察组女24例，男52例；年龄61～88岁，平均年龄(70.83±3.72)岁；高血压28例，冠心病37例，高血压合并冠心病20例。对照组女26例，男50例；年龄62～86岁，平均年龄(70.55±3.98)岁，高血压25例，冠心病30例，高血压合并冠心病21例。两组患者的性别与年龄、基础疾病比较，差异无统计学意义(P>0.05)，具有可比性。
1.2方法
1.2.1体位摆放 患者取仰卧位完成超声检查，将软枕垫于患者双肩下方并将高度调整适宜，告知患者头部轻微后仰并朝向待检查部位的对侧，从而充分暴露颈部；实际检查过程中需要根据具体要求来对患者头部角度予以适度调整，从而保证能够获得最佳显像效果，改善颈动脉两侧分叉部位的显示情况。有部分患者在检查期间可能因头部后仰或偏移而出现头晕症状，使得超声检查不能有效进行，则需选择患者去枕平卧位，将颈部暴露后进行相应检查。, http://www.100md.com(欧德福)
关键词：超声；老年心血管病；颈动脉粥样硬化
中图分类号：R455.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.046
, 百拇医药
文章编号：1006-1959(2018)23-0158-03
Abstract：Objective To evaluate the value of ultrasound in the evaluation of carotid atherosclerosis in elderly patients with cardiovascular disease. Methods A total of 76 patients with cardiovascular disease admitted to our hospital from July 2017 to June 2018 were randomly selected as the study observation group. 76 elderly people who underwent physical examinations in our hospital during the same period were randomly selected as the study group， ultrasound examination was performed on both groups， The vascular atherosclerotic plaque area， plaque score， and IMT values， VA， CCA， and ICA sites， blood flow， and cerebral blood flow were compared between the two groups.Results The plaque area， plaque score， and IMT of the observation group were significantly higher than those of the control group(P<0.05). The stenosis degree of VA， CCA， and ICA was significantly Severe than that of the control group(P<0.05)；blood flow and cerebral blood flow in VA， CCA and ICA were significantly lower than those in the control group(P<0.05).Conclusion Ultrasound evaluation of carotid atherosclerosis in elderly patients with cardiovascular disease has significant value， which is conducive to the judgment of the development and prognosis of elderly patients. It is worthy of promotion.
, http://www.100md.com
Key words： Ultrasound；Elderly patients with cardiovascular disease；Carotid atherosclerosis
動脉粥样硬化(atherosclerosis，AS)属于一种全身性疾病，而颈动脉粥样硬化则是全身动脉粥样硬化的表现之一，也是对全身动脉粥样硬化病变情况的有效表现。颈动脉内膜-中层厚度(IMT)会因为年龄的增长而不断加多，对于相同年龄段的患者，疾病状态不同，动脉粥样硬化病变的范围与程度也有所差异。血管超声技术作为一种无创式检查已被临床大范围应用，其能够对心血管疾病患者的病变程度和预后情况进行准确评估[1]。本次研究通过对比患有心血管疾病的老年患者与健康老年人的超声诊断情况，探讨超声对老年心血管病患者颈动脉粥样硬化的评价价值。
1资料与方法
1.1一般资料 选择江西省会昌县中医院2017年6月～2018年7月收治的老年心血管疾病患者76例设为观察组，选择同期于我院行健康体检的76例老年人设为对照组。观察组女24例，男52例；年龄61～88岁，平均年龄(70.83±3.72)岁；高血压28例，冠心病37例，高血压合并冠心病20例。对照组女26例，男50例；年龄62～86岁，平均年龄(70.55±3.98)岁，高血压25例，冠心病30例，高血压合并冠心病21例。两组患者的性别与年龄、基础疾病比较，差异无统计学意义(P>0.05)，具有可比性。
1.2方法
1.2.1体位摆放 患者取仰卧位完成超声检查，将软枕垫于患者双肩下方并将高度调整适宜，告知患者头部轻微后仰并朝向待检查部位的对侧，从而充分暴露颈部；实际检查过程中需要根据具体要求来对患者头部角度予以适度调整，从而保证能够获得最佳显像效果，改善颈动脉两侧分叉部位的显示情况。有部分患者在检查期间可能因头部后仰或偏移而出现头晕症状，使得超声检查不能有效进行，则需选择患者去枕平卧位，将颈部暴露后进行相应检查。, http://www.100md.com(欧德福)