摘要
目的 高血压疾病很有可能会诱发颈动脉粥样硬化(AS)危害患者预后,对此分析超声检测的应用价值。方法 本项研究于2021年6月正式启动,截止时间是2022年6月。选用此时间段到笔者医院就诊的高血压患者为研究样本,样本数量共有90例,为病例组;并以同期健康体检者100例为参照组,均接受超声检测。对比观察两组颈动脉数据变化以及血流动力学数据差异。结果 分析两组研究对象超声检查结果发现,病例组颈总动脉内径、颈总动脉IMT大于参照组,且两组血流动力学也存在统计学差异(P<0.05)。结论 高血压疾病易增加AS发病风险降低患者生存质量,采取超声检测能进一步明确病情严重程度,能够为后续诊治提供有利的诊断依据,临床可进一步推广运用。
关键词: 超声检测;高血压疾病;颈动脉粥样硬化;血流动力学
Abstract
Objective Hypertension is likely to induce carotid atherosclerosis (AS) to harm the prognosis of patients, and to analyze the application value of ultrasonic detection. Methods This study was officially launched in June 2021 and the deadline was June 2022. A total of 90 patients with hypertension who visited the author's hospital during this period were selected as the study samples, which were the case group. 100 healthy subjects in the same period were taken as the reference group. The changes of carotid artery data and hemodynamic data were compared between the two groups. Results The ultrasonic examination results of the two groups showed that the internal diameter and IMT of the common carotid artery in the case group were larger than those in the reference group, and there were statistical differences in hemodynamics between the two groups (P < 0.05). Conclusion Hypertension is easy to increase the risk of AS and reduce the quality of life of patients. Ultrasound detection can further clarify the severity of the disease, provide favorable diagnostic basis for subsequent diagnosis and treatment, and can be further popularized and applied in clinic.
Key words: ultrasonic detection; Hypertensive diseases; Carotid atherosclerosis; hemodynamics
参考文献 References
[1] 李静, 折剑青, 罗娟娟,等. 老年高血压患者血压昼夜节律与颈动脉粥样硬化的相关性研究[J]. 中华全科医学, 2021, 19(4):534-537.
[2] 张延丽. 经颅多普勒超声联合颈动脉超声血流动力学检查在H型高血压合并颈动脉粥样硬化患者中的检测价值[J]. 实用医学影像杂志, 2022,23(003):238-241.
[3] 秦杰, 许志辉, 陈琪. 颈动脉超声检测对原发性高血压患者粥样硬化斑块狭窄程度及其分布的临床诊断价值[J]. 当代医学, 2021, 27(18):80-82.
[4] 吕剑, 李佳澄. 彩超评价高血压患者颈动脉粥样硬化与血流动力学变化的价值[J]. 数理医药学杂志, 2021, 34(8):1143-1145.
[5] 卢琴. 颈动脉血管高频彩超在诊断高血压患者颈动脉粥样硬化狭窄程度及斑块形态变化中的应用价值分析[J]. 中外医学研究, 2021, 19(16):86-88.
[6] 曹文, 任翠龙, 孙艳霞. 常规超声,超声造影及超声弹性成像联合诊断高血压伴高同型半胱氨酸血症患者颈动脉粥样硬化斑块的价值[J]. 临床超声医学杂志, 2022,24(008):598-602.
[7] 沈冬英. 彩色多普勒超声检查分析原发性高血压与颈动脉粥样硬化的相关性[J]. 影像技术, 2022, 34(6):15-20.
[8] 王丽. 高血压合并糖尿病患者颈动脉彩色多普勒超声检查的临床观察[J]. 中国医学创新, 2021, 18(9):150-153.
[9] 刘迪, 刘慧杰. 老年性高血压病患者颈动脉彩色多普勒超声表现研究[J]. 医学食疗与健康, 2021, 019(014):143-144.
[10] 黄菊霞, 彭杰成, 夏群,等. 颈动脉彩色多普勒超声评价老年高血压患者斑块易损性与脑白质病变分级的相关性[J]. 中华老年心脑血管病杂志, 2022,24(008):837-840.