超声评价东营地区45岁及以上人群颈动脉粥样硬化现状

发布时间：2018-06-05 00:15

本文选题：颈动脉 + 动脉粥样硬化　；参考：《中国动脉硬化杂志》2017年03期

【摘要】：目的通过超声检查了解东营地区≥45岁城乡居民的颈动脉粥样硬化病变发生现状。方法以整群随机抽样方法,从东营5个县区各选出一个居委会和自然村,共选取10 182位≥45岁的居民进行颈动脉血管超声检查,检测颈动脉内膜-中膜(IMT)厚度、斑块形成、管腔狭窄程度等情况,并进行统计学分析。结果颈动脉粥样硬化病变的检出率为74.8%。其中单纯IMT增厚、斑块形成、存在单发斑块、存在多发斑块、单条颈动脉受累、多条颈动脉受累、颈动脉支架植入术(CAS)及术后再狭窄的检出率分别为20.3%、55.9%、20.8%、33.5%、21.6%、53.1%、0.12%和0.03%。东营地区居民颈动脉轻度狭窄、中度狭窄、重度狭窄或闭塞的检出率分别为73.6%、1.0%、0.2%。城市居民在颈动脉粥样硬化病变、斑块形成、多发斑块、多条颈动脉受累检出率均高于乡村居民(P0.05)。城市和乡村居民颈动脉狭窄程度的总体构成比有差别(P0.05)。颈动脉粥样硬化病变、单纯IMT增厚、斑块形成、存在多发斑块、多条颈动脉受累、颈动脉支架植入术后的男性检出率明显高于女性(P0.05)。结论东营地区居民颈动脉粥样硬化的患病率较高,城市较乡村居民颈动脉粥样硬化的患病率和病变程度更高。
[Abstract]:Objective to investigate the prevalence of carotid atherosclerosis in urban and rural residents aged more than 45 years in Dongying area. Methods A cluster random sampling method was used to select a neighborhood committee and a natural village from each of the five counties and districts in Dongying. A total of 10 182 residents aged more than 45 years were selected for carotid artery ultrasound examination. IMT thickness of carotid intima-media was measured and plaque formation was detected. The degree of lumen stenosis was analyzed statistically. Results the detection rate of carotid atherosclerosis was 74.8%. The detectable rates of IMT thickening, plaque formation, single plaque, multiple plaque, single carotid artery involvement, multiple carotid artery involvement, carotid stenting and restenosis were 20.33.35.9and 20.83.53.53.10.12% and 0.03%, respectively. The detection rates of mild stenosis, moderate stenosis and severe stenosis or occlusion of carotid artery in Dongying area were 73.6 and 1.0 respectively. The detection rate of carotid atherosclerosis, plaque formation, multiple plaques and multiple carotid arteries in urban residents was higher than that in rural residents (P 0.05). The overall ratio of carotid artery stenosis in urban and rural residents was different (P 0.05). Carotid atherosclerosis, simple IMT thickening, plaque formation, multiple plaques, multiple carotid artery involvement, carotid stent implantation in men was significantly higher than that in women (P 0.05). Conclusion the prevalence of carotid atherosclerosis in Dongying area is higher than that in rural area.
【作者单位】：胜利油田中心医院健康管理部;青岛大学附属医院健康管理中心;青岛大学附属医院血管外科;
【分类号】：R543.4

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