王付镇

【摘  要】目的：研究颈部血管超声检测粥样斑块在预防缺血性脑梗死方面的价值。方法：选取2017年5月至2018年12月医院收治的60例缺血性脑梗死患者为观察组，另选取同期入院接受健康体检者60例为对照组，分别经颈部血管超声检测，对比两组粥样斑块发生率、颈动脉内膜-中层厚度（IMT）及颈动脉内径情况。结果：观察组的斑块发生率高于对照组（P<0.05），观察组的IMT大于对照组，颈总动脉内径、颈内动脉颅外段内径窄于对照组（P<0.05）;观察组治疗前恢复良好组与恢复不良组的颈动脉IMT差异显著，治疗后两组颈动脉IMT、血清hs-CRP、Hcy水平差异显著（P<0.05）。结论：经颈部血管超声检测粥样斑块，可用于指导临床预防缺血性脑梗死，临床应用价值显著。

【关键词】颈部血管超声;粥样斑块;缺血性脑梗死

【中图分类号】R743.3      【文献标识码】A      【文章编号】1672-3783（2019）04-0294-02

Value of cervical vascular ultrasound in detecting atherosclerotic plaque in preventing ischemic cerebral infarction

Wang Fu Zhen

（Ultrasonography Department Of Shandong Electric Power Central Hospital  250001）

【Abstract】Objective：To study the value of cervical vascular ultrasound in detecting atherosclerotic plaque in preventing ischemic cerebral infarction.Methods：Sixty patients with ischemic cerebral infarction admitted to the hospital from May 2017 to December 2018 were selected as the observation group， and 60 healthy people admitted to the hospital during the same period were selected as the control group. The incidence of atherosclerotic plaque， intima-media thickness（IMT） and carotid artery diameter were compared between the two groups by carotid artery ultrasound.Results： The incidence of plaque in the observation group was higher than that in the control group （P<0.05），The IMT in the observation group was larger than that in the control group， and the internal diameter of common carotid artery and extracranial segment of internal carotid artery was narrower than that in the control group （P<0.05）;The IMT of carotid artery in the observation group was significantly different from that in the poor recovery group before treatment， and the IMT， hs-CRP and Hcy levels in the two groups after treatment were significantly different （P<0.05）. Conclusion：Detection of atherosclerotic plaque by cervical vascular ultrasound can be used to guide clinical prevention of ischemic cerebral infarction， and its clinical application is significant.

【Key words】Cervical vascular ultrasound; Atheromatous plaque; Ischemic cerebral infarction

缺血性腦梗死为一种临床常见脑血管疾病。分析其发生主要是因局部脑血管缺血，对供血循环系统产生不良影响，导致患者出现一过性意识障碍、暂时性偏瘫等神经系统症状^[1]。该疾病具有较高的致残、致死率，尤其是随着老龄化加剧，该疾病发生率逐渐增加。但因该疾病发病比较隐匿，并未引起患者重视，导致病情延误，危及患者生命健康。因此如何早期有效预防筛查缺血性脑血管疾病，是当前国内外研究的热点。而颈部血管超声检测粥样斑块能够为早期有效预防、筛查缺血性脑血管病提供科学依据，并尽早给予干预。本次研究中，分别经颈部超声检测研究对象，现总结如下。

1 资料与方法

1.1病历资料

选取2017年5月至2018年12月医院收治的60例缺血性脑梗死患者为观察组，所有研究对象均符合脑血管学会会议关于脑梗死的诊断标准并经颅脑MRI及脑血管造影确诊。……