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高频超声对OSAS患者颈动脉结构和顺应性的研究
引用本文:沈翔,慈书平,许朱定.高频超声对OSAS患者颈动脉结构和顺应性的研究[J].生物医学工程与临床,2011,15(1):24-27.
作者姓名:沈翔  慈书平  许朱定
作者单位:解放军第359医院,特诊科,江苏,镇江,212001
基金项目:全军“九五”医药卫生科研基金课题(96D027)
摘    要:目的应用高频超声对阻塞性睡眠呼吸暂停综合征(OSAS)患者颈动脉结构和顺应性变化进行研究,为OSAS的临床治疗效果提供依据。方法 40例OSAS患者(A组),均为男性,年龄21~55岁,平均年龄40.80岁;体质量指数(BMI)为(27.23±3.35)kg/m2。40例健康志愿者(B组),均无OSAS,均为男性,年龄22~57岁,平均年龄42.21岁;BMI为(25.71±2.31)kg/m2。用高频超声对A组患者和B组志愿者颈动脉进行二维超声检查,测量颈动脉内-中膜厚度(IMT)、收缩期内径(Ds)、舒张期内径(Dd),并测量肱动脉收缩压(SBP)、舒张压(DBP)和脉压(PP),计算颈动脉紧张度(AS)、扩张性(AD)和僵硬度(ASt),评价颈动脉顺应性。结果 A组IMT、SBP、DBP较B组增大,差异有统计学意义(P<0.05);PP、Ds、Dd两组间差异无统计学意义(P>0.05);A组颈动脉AS、AD较B组减小,ASt较对照组增大,差异有统计学意义(P<0.05)。结论高频超声能够反映颈动脉结构和功能变化,可为临床评价OSAS治疗效果提供颈动脉顺应性变化的监测数据,具有临床应用价值。

关 键 词:阻塞性睡眠呼吸暂停综合征  超声诊断  颈动脉结构

High frequency ultrasound evaluation of carotid artery compliance and structure in patients with obstructive sleep apnea syndrome
SHEN Xiang,CI Shu-ping,XU Zhu-ding.High frequency ultrasound evaluation of carotid artery compliance and structure in patients with obstructive sleep apnea syndrome[J].Biomedical Engineering and Clinical Medicine,2011,15(1):24-27.
Authors:SHEN Xiang  CI Shu-ping  XU Zhu-ding
Institution:SHEN Xiang,CI Shu-ping,XU Zhu-ding(Department of Special Diagnosis,No.359th Hospital of PLA,Zhenjiang 212001,Jiangsu,China)
Abstract:Objective To study the compliance and structure of carotid artery for providing the basis in treatment of obstructive sleep apnea syndrome(OSAS) with high resolution ultrasound.Methods Forty patients with OSAS and forty healthy volunteers were enrolled.The compliance was evaluated through carotid intima-madia thickness(IMT),systolic diameter(Ds),diastolic diameter(Dd),pulse pressure(PP),systolic blood pressure(SBP) and diastolic blood pressure(DBP) of brachial artery,distensibility(AD),strain(AS) and stiffn...
Keywords:obstructive sleep apnea syndrome  ultrasound diagnosis  carotid artery structure  
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