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目的探究颈动脉超声在筛查颈动脉狭窄及脑卒中高危人群中的应用价值。方法选择2015年10月至2016年10月接受颈动脉超声检查的260例患者,根据年龄将其分为两组,每组130例,观察组≥60岁,对照组<60岁。分析两组患者颈动脉狭窄情况及相关因素。结果观察组吸烟、高血压、糖尿病、下肢动脉疾病、冠心病等比例明显高于对照组,差异有统计学意义(P<0.05);冠心病与下肢动脉疾病患者较高血压与糖尿病患者更易发生颈动脉狭窄,且狭窄程度明显较重,差异有统计学意义(P<0.05)。结论下肢动脉疾病、冠心病及高龄为颈动脉狭窄及脑卒中的高危群体,颈动脉超声筛查技术具有显著的临床应用价值。
Objective To explore the value of carotid artery ultrasonography in the screening of carotid artery stenosis and high risk stroke population. Methods 260 patients undergoing carotid ultrasonography from October 2015 to October 2016 were divided into two groups according to their age, 130 cases in each group. The observation group was ≥60 years old and the control group was less than 60 years old. Analysis of two groups of patients with carotid stenosis and related factors. Results The proportions of smoking, hypertension, diabetes, lower extremity arterial disease and coronary heart disease in the observation group were significantly higher than those in the control group (P <0.05). Patients with coronary heart disease and lower extremity arterial disease were more likely to develop hypertension and diabetes Carotid stenosis, and stenosis was significantly heavier, the difference was statistically significant (P <0.05). Conclusion Lower extremity arterial disease, coronary heart disease and elderly at high risk of carotid artery stenosis and stroke, carotid ultrasound screening technology has significant clinical value.