应用颈动脉超声对500名亚健康状态中老年人健康体检结果分析
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[摘要] 目的 采用超声检测技术对500例45岁以上的亚健康中老年进行颈动脉超声检查，以探讨中老年人群血管健康状况，指导心脑血管病的预防及治疗。 方法 45岁以上人群500例，应用超声检查双侧颈动脉、锁骨下动脉，测量内-中膜厚度(IMT)、收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)。 结果 500例行颈动脉超声检查，发现正常者172例，动脉有斑块无狭窄者310例，<50%狭窄9例，50%～69%狭窄7例，>70%狭窄2例。其中9例狭窄经DSA证实。 结论 大部分患者动脉内中膜增厚，有斑块形成，提示动脉粥样硬化，少数患者有狭窄无症状，超声可以用于预防脑血管病，对减少脑缺血病残率和死亡率有重要意义。
[关键词] 超声; 颈动脉 ; 内中膜厚度; 斑块 ; 狭窄
[中图分类号] R587.2 [文献标识码] B [文章编号]1673-9701(2011) 21-98-02
Health Check for Subhealthy Middle-aged and Aged Citizens by Introduction of Ultrasonography on Carotid：An Analysis of 500 Cases
LI DingHUANG Xinghong
Beijing Municipal Chaoyang District Heping Hospital Cuigezhuang Community Health Service Centre , Beijing 100103 ,China
[Abstract] Objective By introducing ultrasonography into the carotid health check for 500 over 45 years old sub healthy citizens, to study the blood vessel health conditions of the old group, so as to give instruction on prevention and treatment to cardiovascular and cerebrovascular diseases. Methods For 500 public over 45 years old engaged, to apply ultrasonography on carotid and subclavian artery check with measurement of intima-media thickness(IMT), peak systole velocity(PSV), end-diastolic velocity(EDV)and resistance index(RI).Results One hundred and Seventy-two out of 500 cases have been identified as normal, whereas the remaining cases are labeled as 310 carotid plaque without stenosis, 9 less then 50% stenosis, 7 with stenosis between 50% to 69% and 2 cases have stenosis even more than 70%. 9 stenosis cases have been substantiated by Digital Subtraction Angiography(DSA).Most respondents suffered by negative IMT value, some have plaques, and some are warned for atherosclerosis. However, few stenosis. Conclusion It could be drew which is ultrasonography application on prevention of cerebrovascular diseases and reduction of invalidism rate generated by cerebral ischemia is extra important. ......
[摘要] 目的 采用超声检测技术对500例45岁以上的亚健康中老年进行颈动脉超声检查，以探讨中老年人群血管健康状况，指导心脑血管病的预防及治疗。 方法 45岁以上人群500例，应用超声检查双侧颈动脉、锁骨下动脉，测量内-中膜厚度(IMT)、收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)。 结果 500例行颈动脉超声检查，发现正常者172例，动脉有斑块无狭窄者310例，<50%狭窄9例，50%～69%狭窄7例，>70%狭窄2例。其中9例狭窄经DSA证实。 结论 大部分患者动脉内中膜增厚，有斑块形成，提示动脉粥样硬化，少数患者有狭窄无症状，超声可以用于预防脑血管病，对减少脑缺血病残率和死亡率有重要意义。
[关键词] 超声; 颈动脉 ; 内中膜厚度; 斑块 ; 狭窄
[中图分类号] R587.2 [文献标识码] B [文章编号]1673-9701(2011) 21-98-02
Health Check for Subhealthy Middle-aged and Aged Citizens by Introduction of Ultrasonography on Carotid：An Analysis of 500 Cases
LI DingHUANG Xinghong
Beijing Municipal Chaoyang District Heping Hospital Cuigezhuang Community Health Service Centre , Beijing 100103 ,China
[Abstract] Objective By introducing ultrasonography into the carotid health check for 500 over 45 years old sub healthy citizens, to study the blood vessel health conditions of the old group, so as to give instruction on prevention and treatment to cardiovascular and cerebrovascular diseases. Methods For 500 public over 45 years old engaged, to apply ultrasonography on carotid and subclavian artery check with measurement of intima-media thickness(IMT), peak systole velocity(PSV), end-diastolic velocity(EDV)and resistance index(RI).Results One hundred and Seventy-two out of 500 cases have been identified as normal, whereas the remaining cases are labeled as 310 carotid plaque without stenosis, 9 less then 50% stenosis, 7 with stenosis between 50% to 69% and 2 cases have stenosis even more than 70%. 9 stenosis cases have been substantiated by Digital Subtraction Angiography(DSA).Most respondents suffered by negative IMT value, some have plaques, and some are warned for atherosclerosis. However, few stenosis. Conclusion It could be drew which is ultrasonography application on prevention of cerebrovascular diseases and reduction of invalidism rate generated by cerebral ischemia is extra important. ......
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