彩色超声对高血压合并高脂血症患者颈动脉粥样硬化斑块形成的诊断价值

目的探讨彩色多普勒超声对高血压合并高脂血症患者颈动脉粥样硬化斑块形成的诊断价值。方法选择我科2010年1～12月应用彩色多普勒超声检测过的75例高血压合并高脂血症患者为观察组，另选择未患高血压合并高脂血症患者75例为对照组。比较两组患者的颈动脉中膜厚度及不同病理类型粥样斑块的数量。结果观察组患者的颈动脉中膜厚度明显厚于对照组，两组比较差异有统计学意义（P〈0．05）。观察组75例患者中合并粥样斑块形成者49例；对照组合并粥样斑块形成者8例，各型斑块发生率比较差异均有统计学意义（P〈0．05）。结论彩色多普勒超声可作为高血压合并高脂血症患者的常规检查，为临床预防及治疗颈动脉粥样的形成提供重要依据。

Diagnostic Value of Plaque Formation of Color Doppler Ultrasonography on Carotid Atherosclerosis in Patients with Hypertension Complicated with Hyperlipemia

Objective To explore the diagnostic value of plaque formation of Color Doppler ultrasonography on carotid atherosclerosis in patients with hypertension complicated with hyperlipemia. Methods All 75 patients of hypertension complicated with hyperlipemia were allocated in observation group. Another 75 normal people were allocated in control group. Compared IMT and and the amount of atherosclerotic plaque of different pathological types. Results There were significant difference between two groups in IMT and and the amount of atherosclerotic plaque of different pathological types. 49 cases of observation group suffered from atherosclerotic plaque formation and 8 cases in control groups. Conclusion Color Doppler ultrasound can be used as routine examination of patients with hypertension complicated with hyperlipemia, clinical prevention and treatment of carotid artery atherosclerotic formation provided an important basis.