论文部分内容阅读
目的对老年代谢综合征(MS)患者颈动脉病变特点进行分析。方法根据中华医学会糖尿病学分会诊断建议标准,选择贵阳市第四人民医院2004年1月至2006年1月老年MS患者共45例进行颈动脉超声检测,观察颈动脉内-中膜厚度(IMT)、斑块发生情况及血流参数[收缩期峰值流速(Vmax)、阻力指数(RI)]。结果MS组与对照组比较,平均IMT、最大IMT、斑块发生率、Vmax、RI均明显增高(P<0.05),差异具有显著性意义。结论老年人MS颈动脉硬化程度严重,以斑块多发、斑块的不稳定性为特点。
Objective To analyze the characteristics of carotid lesions in elderly patients with metabolic syndrome (MS). Methods According to the diagnostic criteria proposed by the Diabetes Branch of Chinese Medical Association, 45 elderly MS patients in the Fourth People’s Hospital of Guiyang from January 2004 to January 2006 were enrolled in this study. Carotid arterial intima-media thickness (IMT) ), Plaque incidence and blood flow parameters [peak systolic velocity (Vmax), resistance index (RI)]. Results Compared with the control group, the average IMT, the maximum IMT, the plaque incidence, Vmax and RI were significantly increased in MS group (P <0.05). The difference was significant. Conclusion Elderly patients with severe carotid atherosclerosis are characterized by multiple plaques and plaque instability.