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目的探讨应用彩色多普勒超声检测颈动脉粥样硬化,预测脑梗死的临床实用价值。方法对临床确诊的105例脑梗死患者颈动脉超声检查结果进行分析。结果105例脑梗死患者颈动脉粥样硬化81例,占脑梗死患者的77.1%。其中有高血压、糖尿病病史的患者颈动脉粥样硬化检出率分别为70%和83%。颈动脉粥样硬化与脑梗死有显著的相关性,而且颈动脉粥样硬化的发生与年龄呈正相关。结论中老年高血压、糖尿病患者是脑梗死的高危人群,应用彩色多普勒超声检测颈动脉血管有无粥样硬化,对脑梗死的发生有积极地预防作用。
Objective To explore the clinical value of color Doppler ultrasound in detecting carotid atherosclerosis and predicting cerebral infarction. Methods The results of carotid ultrasonography in 105 patients with clinically diagnosed cerebral infarction were analyzed. Results There were 81 cases of carotid atherosclerosis in 105 patients with cerebral infarction, accounting for 77.1% of patients with cerebral infarction. Among them, the detection rate of carotid atherosclerosis in patients with history of hypertension and diabetes was 70% and 83% respectively. Carotid atherosclerosis and cerebral infarction have a significant correlation, and the occurrence of carotid atherosclerosis and age were positively correlated. Conclusions Middle-aged and elderly patients with hypertension and diabetes mellitus are at high risk of cerebral infarction. To detect the presence or absence of atherosclerosis of carotid artery by color Doppler echocardiography and to prevent the occurrence of cerebral infarction.