彩超在高血压患者颈动脉粥样硬化的诊断价值探析

目的：探讨彩超在高血压患者颈动脉粥样硬化中的诊断价值。方法以我院93例高血压颈动脉粥样硬化患者作观察组,同期93例健康志愿者作对照组,比较两组患者的颈动脉彩超检查资料。结果观察组的颈动脉内-中膜厚度明显大于对照组,斑块检出率为62.37%,高于对照组的19.35%,该组的收缩期峰值流速、舒张末期流速和平均流速明显低于对照组,搏动指数和阻力指数明显高于对照组,上述差异比较均有统计学意义（P＜0.05）。结论彩超较为准确的反映颈动脉损害情况,为高血压患者颈动脉粥样硬化的诊断提供参考。

Diagnostic value of ultrasonography in hypertensive patients with carotid atherosclerosis

Objective To investigate the diagnostic value of ultrasonography in hypertensive patients with carotid atherosclerosis. Methods 93 cases hypertensive patients with carotid atherosclerosis were regarded as observation group, who accessed in our hospital. 93 cases healthy volunteers were regarded as control group. Carotid ultrasonography data of both groups were compared and analyzed. Results The carotid artery intima-media thickness of observation group was significantly greater than the control group. The detection rate of plaque was 62.37%, which was also higher than 19.35% of the control group. Its peak systolic velocity, end-diastolic velocity and average velocity was significantly lower than the control group. Its pulsatility index and resistance index was significantly higher than the control group. The difference had statistical significance（P〈0.05）. Conclusion Ultrasound could reflect the damage of carotid artery relatively accurate, which provide a reference for the diagnosis of hypertension patients with carotid atherosclerosis.