影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (3): 446-449.DOI: 10.7517/issn.1674-0475.201014

• 综述与论文 • 上一篇    下一篇

颈动脉彩色多普勒超声检测老年患者颈动脉病变及与高血压的相关性研究

付丽娟1, 黄玮2, 吴侠2, 陈磊2   

  1. 1. 唐山市开滦总医院赵各庄医院彩超室, 河北 唐山 063101;
    2. 唐山市开滦总医院超声医学科, 河北 唐山 063000
  • 收稿日期:2020-10-23 出版日期:2021-05-15 发布日期:2021-05-17
  • 通讯作者: 吴侠
  • 基金资助:
    河北医学科学研究课题计划(20191164)

Carotid Artery Disease Detected by Color Doppler Ultrasonography in Elderly Patients and Its Correlation with Hypertension

FU Lijuan1, HUANG Wei2, WU Xia2, CHEN Lei2   

  1. 1. Color Doppler Ultrasound Room of Zhaogezhuang Hospital, Kailuan General Hospital, Tangshan 063101, Hebei, P. R. China;
    2. Department of Ultrasound Medicine, Kailuan General Hospital, Tangshan 063000, Hebei, P. R. China
  • Received:2020-10-23 Online:2021-05-15 Published:2021-05-17

摘要: 探讨颈动脉彩色多普勒超声检测老年患者颈动脉病变及与高血压的相关性。选取颈动脉病变患者80例、健康志愿者80例分别为颈动脉病变组、颈动脉正常组。检测所有受检者IMT、斑块、TC、TG、LDL-C、血压、血压变异性指标水平。结果发现,与颈动脉正常组比较,颈动脉病变组患者血压、血压变异性、血脂水平较高(P<0.05)。与IMT增厚患者比较,IMT斑块患者的血压、血压变异性、血脂水平较高(P<0.05)。与低BPV患者比较,高BPV患者左、右侧颈内动脉、总动脉平均IMT厚度较高(P<0.05)。说明老年颈动脉病变患者血压、血压变异性、血脂水平明显异常,且IMT与血压、血压变异性水平具有相关性。

关键词: 颈动脉病变, 彩色多普勒超声, 颈动脉内膜中层厚度, 血压变异性

Abstract: This paper discussed the carotid artery lesions detected by color Doppler ultrasonography in elderly patients and its correlation with hypertension. A total of 80 patients with carotid artery disease and 80 healthy volunteers were selected as carotid artery disease group and normal carotid artery group, respectively. Levels of IMT, plaque, TC, TG, LDL-C, blood pressure, indicators of BP variability were examined in all subjects. It was found that patients with carotid lesions had higher BP, BP variability, and lipid levels compared with the carotid normal group (P<0.05). Compared with patients with thickened IMT, patients with IMT plaque had higher BP, BP variability, and lipid levels (P<0.05).Compared with patients with low BPV, patients with high BPV had higher mean IMT thickness of the left and right internal carotid arteries and common arteries (P<0.05). These results indicate that the blood pressure, blood pressure variability and blood lipid levels were significantly abnormal in elderly patients with carotid artery lesions, and IMT is correlated with blood pressure and blood pressure variability.

Key words: carotid artery disease, color Doppler ultrasound, carotid intima-media thickness, blood pressure variability