| 肖静珍,肖萤.超声评价颈动脉内-中膜厚度与脑梗死的关系[J].中国医学影像技术,2007,23(3):381~383 |
| 超声评价颈动脉内-中膜厚度与脑梗死的关系 |
| Ultrasonic evaluation of relation between carotid artery intima-media thickness and incidence of cerebral infarction |
| 投稿时间：2006-10-20 修订日期：2007-02-23 |
| DOI： |
| 中文关键词: 脑梗死 颈动脉 内-中膜厚度 超声检查 |
| 英文关键词:Cerebral infarction Carotid artery Intima-media thickness Ultrasonography |
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| 中文摘要: |
| 目的 应用超声检查评估颈总动脉(CCA)内-中膜厚度(IMT)与脑梗死的关系,协助筛选脑梗死高危人群。方法 应用彩色多普勒超声诊断仪,对138例脑梗死患者以及123例对照组行颈动脉超声检查,记录每例受检者双侧CCA-IMT。结果 CCA-IMT每增加一个单位(0.15 mm),发生脑梗死的危险性增加69%(优势比,1.69;95%可信区间,1.17~2.45);调整年龄、性别和传统危险因素后,发生脑梗死的危险性增加52%(优势比,1.52;95%可信区间,1.03~2.25)。结论 ①CCA-IMT增加可使脑梗死危险性增加;②CCA-IMT增加有助于筛选脑梗死高危人群。 |
| 英文摘要: |
| Objective To investigate the relation between common carotid artery (CCA) intima-media thickness (IMT) and the incidence of cerebral infarction by ultrasonography, which may help select patients at high risk for cerebral infarction. Methods Carotid atherosclerosis was assessed using color Doppler ultrasonography in 138 cerebral infarction patients and 123 contrasts. IMT was measured at the far wall of bilateral common carotid arteries. Results The risk of cerebral infarction increased 69% per 0.15 mm increase in common carotid artery IMT (odds ratio, 1.69; 95% confidence interval, 1.17 to 2.45); adjustment for cardiovascular risk factors, the risk of cerebral infarction increased 52% per 0.15 mm increase in common carotid artery IMT (odds ratio, 1.52; 95% confidence interval, 1.03 to 2.25). Conclusion ①An increased common carotid artery IMT may cause the increasing of the risk of cerebral infarction. ②An increased common carotid artery IMT may help select patients at high risk for cerebral infarction. |
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