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目的探讨老年患者颈动脉斑块和血清同型半胱氨酸(Hcy)以及高血脂症的相关研究,以此为防治老年心血管病症提供临床参考信息。方法选取和平区小白楼社区卫生服务中心于2015年5月-2016年5月期间所收治的老年患者共120例,对所有患者进行血清Hcy、血脂以及颈动脉的超声检查,对这几项数据进行详细的记录分析,并对比血清Hcy以及高脂血症的相关性。结果通过120例患者的指标记录显示,年龄越大的患者其颈动脉斑块的检出率越高,其中男性患者的血清Hcy检出率要高于女性患者,数据对比差异有统计学意义(P<0.05),其中对高Hcy以及联合高TG患者的颈动脉斑块检出率对比,差异有统计学意义(P<0.05)。结论对老年患者应及时进行颈动脉斑块、血清Hcy以及高脂血症的相关检测,及时防治心脑血管病,从而保障老年人的生活质量,这对于临床研究具有重要意义。
Objective To investigate the correlation between carotid artery plaque, serum homocysteine (Hcy) and hyperlipidemia in elderly patients, and to provide clinical reference information for the prevention and treatment of cardiovascular diseases in the elderly. Methods A total of 120 elderly patients in Xiaobailou Community Health Service Center of Heping District from May 2015 to May 2016 were selected and all patients were examined for serum Hcy, lipids and carotid artery ultrasonography. Data were analyzed in detail and correlated with serum Hcy and hyperlipidemia. Results The index records of 120 patients showed that the detection rate of carotid plaques in older patients was higher, and the detection rate of serum Hcy in male patients was higher than that in female patients, the difference was statistically significant ( P <0.05). The detection rate of carotid plaques in patients with high Hcy and high TG was significantly different (P <0.05). Conclusion The elderly patients should promptly carry out the relevant detection of carotid plaque, serum Hcy and hyperlipidemia, timely prevention and treatment of cardiovascular and cerebrovascular diseases, thus ensuring the quality of life of the elderly, which is of great significance for clinical research.