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目的研究代谢综合征(Ms)与颈动脉粥样硬化的关系。方法32例研究对象根据中华医学会糖尿病学分会(CDS)关于MS的诊断建议列为MS组并且血压升高的患者列为MS并高血压组,对照组(普通高血压患者)30例。应用多普勒超声检测颈总动脉(CCA)与颈内动脉(ICA)内膜中层厚度(IMT)并观察颈动脉系统有无斑块存在。比较两组间颈动脉粥样硬化的程度。结果CCA.IMT、ICA.IMT在MS合并高血压组显著高于对照组,P<0.01。结论颈动脉粥样硬化程度与代谢综合征密切相关。颈动脉超声检查可早期发现动脉粥样硬化。
Objective To study the relationship between metabolic syndrome (Ms) and carotid atherosclerosis. Methods Thirty-two subjects were enrolled as MS group according to the diagnostic criteria of MSS in Diabetes Society of China (CDS). Thirty patients with MS and hypertension and 30 patients with hypertension were enrolled in this study. Doppler ultrasound was used to detect the intima-media thickness (IMT) of the common carotid artery (CCA) and internal carotid artery (ICA) and to observe the existence of plaque in the carotid artery system. The extent of carotid atherosclerosis was compared between the two groups. Results CCA.IMT, ICA.IMT in MS patients with hypertension were significantly higher than those in control group (P <0.01). Conclusion Carotid atherosclerosis is closely related to metabolic syndrome. Carotid ultrasound can detect atherosclerosis early.