超声检查高血压患者颈动脉粥样硬化的临床价值

目的: 探讨超声检测高血压患者颈动脉粥样硬化的临床价值。方法: 对158例原发性高血压患者和122例对照者进行颈动脉超声观察,包括血管内径、内中膜厚度和血流动力学信息以及斑块情况等。结果: 高血压组较对照组颈总动脉内-中膜厚度增厚显著,颈总动脉内径增大、血管阻力指数增大以及斑块检出率明显高于对照组(P<0.05~P<0.001)。结论: 超声在早期检测高血压患者颈动脉粥样硬化以及病变的随访观察中具有重要意义。

Value of ultrasonography on atherosclerosis of carotid artery in hypertensive patients

Objective:To evaluate ultrasonography in the detection of atherosclerotic lesions of the carotid artery in hypertensive subjects.Methods:The carotid artery hypertensive patients of 158 and 122 controls was examined by ultrasonography.The bores,intra-medial thickness(IMT),PSV,EDV and RI of the carotid artery were measured and the atherosclerotic plaques were observed by gray-scale imaging,color and spectral Doppler respectively.Results:There was significant difference between the group of hypertension and the control in IMT,bores and RI(P<0.05 to P<0.001).The incidence of plaques in the group of hypertension was higher than that in the group of control(P<0.005).Conclusions:Ultrasonogrphy plays an important role in the early diagnosis of atherosclerosis,and follow-up of artery lesions change,for patients with hypertension.