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[1]花雪琴,顾青,张诚,等.150例中心性肥胖者颈总动脉和颅内动脉血流动力学的研究分析[J].医学研究与战创伤救治(原医学研究生学报),2010,12(05):415-417.
　HUA Xue-qin,GU Qing,ZHANG Cheng,et al.Analysis of hemodynamic of carotid artery and intracranial artery in 150 patients with central obesity[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(05):415-417.
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150例中心性肥胖者颈总动脉和颅内动脉血流动力学的研究分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年05期
页码:
415-417
栏目:
出版日期:
2010-09-20

文章信息/Info

Title:
Analysis of hemodynamic of carotid artery and intracranial artery in 150 patients with central obesity
文章编号:
1672-271X(2010)05-0415-03
作者:
花雪琴; 顾青; 张诚; 黄荣
310007 浙江杭州，南京军区杭州疗养院特诊科
Author(s):
HUA Xue-qin; GU Qing; ZHANG Cheng; HUANG Rong.
Department of Ultrasound，Hangzhou Sanatorium of Nanjing Military Command, Hangzhou，Zhejiang 310007，China
关键词:
中心性肥胖; 颈总动脉; 颅内动脉
Keywords:
central obesity;  carotid artery;  intracranial artery
分类号:
R445.1；R543.5
DOI:
-
文献标志码:
A
摘要:
目的 研究150例中心性肥胖者的颈总动脉及颅内动脉的血流动力学变化。方法 对150例中心性肥胖者(肥胖组)和150例健康者(对照组)采用彩色多普勒血流显像(CDFI)及经颅多普勒超声(TCD)对颈总动脉及颅内动脉进行检测。结果 颈总动脉内膜(IMT)异常的检出率为73.3%，而对照组为48%，比较差异有统计学意义(P<0.05)。颅内动脉检测结果提示:收缩期流度(Vs)较对照组明显减低(P<0.05)，搏动指数(PI)、阻力指数(RI)明显高于对照组(P<0.05)。结论 CDFI结合TCD可以对中心性肥胖者颅内外动脉粥样硬化情况以及血流动力学变化进行早期客观的评价，对早期干预心脑血管疾病具有指导意义。
Abstract:
Objective To analyze the hemodynamic alteration of carotid artery and intracranial artery in 150 patients with central obesity.Methods The hemodynamic alteration of carotid artery and intracranial artery in 150 patients with central obesity (obese group) and in 150 healthy persons (control group) were checked by using color Doppler flow imaging (CDFI) and transcranial Doppler ultrasound (TCD).Results The abnormal rate detected by carotid artery intima (IMT) was 73.3% in patients, while it was 48% in the control group.The difference between them was statistically significant (P<0.01).Intracranial test results suggest that maximum flow velocity (Vmax) was significantly lower in patients than that in the control group (P<0.05), and pulsatility index (PI) and resistance index (RI) was significantly higher in patients than in control group (P<0.05).Conclusion CDFI combining TCD can early evaluate intracranial atherosclerosis and hemodynamic changes in patients with central obesity, and is significant for prevention of cardio-cerebral vascular disease.

参考文献/References:

[1]陈春明，孔灵芝.中国成年人超重和肥胖预防与防治指南[M].北京:人民卫生出版社，2006:3-4.
[2]李治安,勇 强.血管疾病超声诊断图谱[M].北京:科学技术文献出版社, 2004: 5.
[3]唐海江，张曙云.颈动脉超声检查动脉硬化的临床价值[J].东南国防医药,2008,10(5):331-333
[4]王绍林，刘俊贤，强燕萍，等.颈动脉粥样硬化斑块的超声表现[J] .中国疗养医学,2009,18(4):368-369.
[5]金修才,赵宝珍.颈动脉内中膜厚度的测量及其与心血管危险因素的关系[J].中国医学影像杂志, 2006,14 (1):55-56.
[6]徐俊健,王家森,丁雅鹰,等.高血压病各期脑血流动力学 TCD 监测[J].高血压杂志,2000,8(3):225-226.
[7]Suurkula M,Agewall S, Fagerberg B,et al.Ultrasound evaluation of atherosclerotic manifestations in the carotid artery in high-risk hypertensive patients[J ].Arterioscler Thromb, 1994, 14(5): 1297-1304.
[8]宋宏中，张金潜，谢 正.经颅多普勒对家族性高血压高危人群的检测价值[J].临床医学,2009,29(4):22-24.

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备注/Memo:
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更新日期/Last Update: 2010-09-20