单纯收缩期高血压患者颈动脉频谱特征分析

J4 ›› 2011, Vol. 10 ›› Issue (8): 68-70.

单纯收缩期高血压患者颈动脉频谱特征分析

大理学院大理附属医院，云南大理 671000

收稿日期:2011-03-29 出版日期:2011-08-15 发布日期:2011-08-15
作者简介:杨燕淑，主治医师，主要从事医学影像学研究.

Spectral Characteristics of Carotid Artery in Isolated Systolic Hypertension

Dali Affiliated Hospital of Dali University，Dali，Yunnan 671000，China

Received:2011-03-29 Online:2011-08-15 Published:2011-08-15

摘要/Abstract

摘要：

目的：应用彩色多普勒超声研究单纯收缩期高血压患者的颈动脉频谱变化。方法：对158 例单纯收缩期高血压患者及
30 例单纯舒张期高血压患者、32例收缩期高血压合并舒张期高血压患者进行彩色多普勒超声颈动脉检测。结果：原发性高血压患者的颈动脉超声表现均为内径增宽、中-内膜厚度增厚（平均增厚1.0~1.4 mm）、峰值流速减慢；单纯收缩期高血压患者的颈动脉阻力指数明显增高（颈总动脉：0.86±0.07、颈内动脉：0.73±0.06、颈外动脉：0.91±0.09）。结论：研究显示彩色多普勒超声检测颈动脉阻力指数，对原发性高血压的分型有明确的指导意义。

关键词: 单纯收缩期高血压, 颈动脉, 彩色多普勒超声

Abstract:

Objective：To investigate color Doppler ultrasound spectrum of carotid artery in patients with isolated systolic
hypertension. Methods：One hundred and fifty -eight cases of isolated systolic hypertension，30 cases of isolated diastolic hypertension and 32 cases of systolic hypertension and diastolic hypertension were conducted carotid artery testing with color Doppler ultrasound. Results：Widened carotid diameter，thickened intima （average thickness 1.0~1.4 millimeter）and slowed peak flow rate were observed in all essential hypertension patients. However，carotid artery resistance index was significantly highest in isolated systolic hypertension group（carotid：0.86±0.07 millimeter，internal carotid artery：0.73±0.06 millimeter，the external carotid artery： 0.91 ±0.09 millimeter）. Conclusion：The study showed that ultrasound carotid artery resistance index could be a guide to the classification of essential hypertension.

Key words: isolated systolic hypertension, carotid artery, color Doppler ultrasound

中图分类号:

R544.1

杨燕淑, 李云安, 梁志宁, 刘燕, 李海燕. 单纯收缩期高血压患者颈动脉频谱特征分析[J]. J4, 2011, 10(8): 68-70.

YANG Yan-Shu, LI Yun-An, LIANG Zhi-Ning, LIU Yan, LI Hai-Yan. Spectral Characteristics of Carotid Artery in Isolated Systolic Hypertension[J]. J4, 2011, 10(8): 68-70.

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