缺血性脑血管病患者颈动脉超声检查的临床应用.docxVIP

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缺血性脑血管病患者颈动脉超声检查的临床应用

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【摘要】：目的：观察分析颈动脉超声在缺血性脑血管病诊断中的临床应用价值。方法：选择我院2018年1月-2019年1月收治的96例缺血性脑血管病患者作为本次的研究对象，其中包括短暂性脑缺血发作（TIA）患者48例和脑梗死患者48例；另外，选择同期来我院进行健康体检的48例非心脑血管病患者作为对照组，对所有观察对象均行颈动脉超声检查，并对颈动脉超声检查结果进行分析。结果：脑梗死组患者检出斑块血管、单发斑块血管率分别为93.75%、56.25%，均显著高于TIA组和对照组，差异有统计学意义（P0.05）。与对照组患者比较，TIA组以及脑梗死组患者多发斑块血管检出率均显著提高，差异有统计学意义（P0.05）。脑梗死组患者脂质斑以及复合斑的检出率分别为60.34%、55.17%，均显著高于TIA组和对照组，差异有统计学意义（P0.05）。与脑梗死组和对照组比较，TIA组患者纤维斑检出率显著升高，差异有统计学意义（P0.05）。结论：缺血性脑血管病与颈动脉粥样硬化有着直接的关系，对缺血性脑血管病患者行颈动脉超声检查具有非常重要的临床应用价值。

【关键词】：颈动脉超声；缺血性脑血管病；诊断临床应用价值

Clinicalapplicationofcarotidarteryultrasonographyinpatientswithischemiccerebrovasculardisease

[abstract]objective:toobserveandanalyzetheclinicalapplicationvalueofcarotidarteryultrasoundinthediagnosisofischemiccerebrovasculardisease.Methods:96patientswithischemiccerebrovasculardiseaseadmittedtoourhospitalfromJanuary2018toJanuary2019wereselectedastheresearchobjects,including48patientswithtransientischemicattack(TIA)and48patientswithcerebralinfarction.Inaddition,48casesofpatientswithnon-cardiovascularandcerebrovasculardiseaseswhocametoourhospitalforphysicalexaminationduringthesameperiodwereselectedasthecontrolgroup.Carotidultrasoundexaminationwasperformedonalltheobservedsubjects,andtheresultsofcarotidultrasoundexaminationwereanalyzed.Results:thevesselratesofplaqueandsingleplaqueincerebralinfarctiongroupwere93.75%and56.25%,respectively,whichweresignificantlyhigherthanthoseinTIAgroupandcontrolgroup(P0.05).Comparedwiththecontrolgroup,thedetectionrateofmultipleplaquesinboththeTIAgroupandthecerebralinfarctiongroupwassignificantlyimproved,withstatisticallysignificantdifference(P0.05).Thedetectionratesoflipidplaquesandcompoundplaquesinthecerebralinfarctiongroupwere60.34%and55.17%,respectively,whichweresignificantlyhigherthanthoseintheTIAgroupandthecontrolgroup,withstatisticallysignificantdifferences(P0.05).Comparedwiththecerebralinfarctiongroupandthecontrolgroup,thefiberspotdetectionrateintheTIAgroupwassignificantlyincreased,andthedifferencewasstatis