急性脑梗死患者颈动脉和椎动脉超声特征调查

发布时间：2018-06-28 03:34

本文选题：急性脑梗死 + 颈动脉　；参考：《基因组学与应用生物学》2017年11期

【摘要】：本研究将284例急性脑梗死患者作为观察组,100例健康人作为对照组,对比两组的颈动脉、椎动脉的血管内径、内膜中膜厚度(intima-media thickness,IMT)、血管阻力指数(resistance index,RI)、收缩期血流速度(systolic velocity,Vs)、舒张期血流速度(diastolic velocity,Vd),发现两组在左颈总动脉内径、右颈总动脉内径、左颈内动脉内径、右颈内动脉内径、左颈总动脉RI、右颈总动脉RI、左颈内动脉RI、左颈总动脉Vd、右颈总动脉Vd、左颈内动脉Vs、右颈内动脉Vs、左颈内动脉Vd、右颈内动脉Vd、右椎动脉Vs、右椎动脉Vd、等指标方面均有差异,观察组动脉内径厚于对照组,血管阻力指数高于对照组,血流速度低于对照组(p0.05)。进展性脑梗死组及非进展性脑梗死组在左颈内动脉IMT、右颈内动脉IMT、左颈总动脉Vs、左颈总动脉RI、右椎动脉Vs等参数方面有显著差异,进展性脑梗死组的内膜中膜厚度要厚于非进展性脑梗死组(p0.05)。年龄与颈动脉及椎动脉病变具有一定的相关性(p0.05)。提示动脉粥样硬化是脑梗死的特征之一,年龄越高,动脉发生病变的可能性越大,IMT增厚可能是脑梗死进展加重的危险信号。
[Abstract]:In this study, 284 patients with acute cerebral infarction were used as observation group and 100 healthy persons as control group. The internal diameter of carotid artery and vertebral artery were compared between the two groups. Intima-media thickness (IMT), resistance index (RI), systolic velocity (Vs) and diastolic velocity (VD) were found in the left common carotid artery, the right common carotid artery, the left internal carotid artery, the right internal carotid artery and the right internal carotid artery. The indexes of left common carotid artery, right common carotid artery, left internal carotid artery, left common carotid artery, right common carotid artery, left internal carotid artery, right internal carotid artery, left internal carotid artery, right vertebral artery and right vertebral artery were all different. The arterial diameter in the observation group was thicker than that in the control group, the vascular resistance index was higher and the blood flow velocity was lower than that in the control group (p0.05). There were significant differences in the parameters of left internal carotid artery (IMT), right internal carotid artery (IMT), left common carotid artery (VS), left common carotid artery (Ri) and right vertebral artery (Vs) between progressive cerebral infarction group and non-progressive cerebral infarction group. The intima media thickness of progressive cerebral infarction group was thicker than that of non-progressive cerebral infarction group (p 0.05). Age was correlated with carotid artery and vertebral artery lesion (p0.05). It is suggested that atherosclerosis is one of the characteristics of cerebral infarction. The higher the age, the greater the probability of arteriopathy. IMT thickening may be a dangerous signal for the progression of cerebral infarction.
【作者单位】：潍坊市益都中心医院;
【基金】：潍坊市益都中心医院提供项目资助
【分类号】：R743.3

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