本文選題：頸動(dòng)脈 + 動(dòng)脈粥樣硬化��； 參考：《中國動(dòng)脈硬化雜志》2017年03期

【摘要】：目的通過超聲檢查了解東營地區(qū)≥45歲城鄉(xiāng)居民的頸動(dòng)脈粥樣硬化病變發(fā)生現(xiàn)狀。方法以整群隨機(jī)抽樣方法,從東營5個(gè)縣區(qū)各選出一個(gè)居委會(huì)和自然村,共選取10 182位≥45歲的居民進(jìn)行頸動(dòng)脈血管超聲檢查,檢測(cè)頸動(dòng)脈內(nèi)膜-中膜(IMT)厚度、斑塊形成、管腔狹窄程度等情況,并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果頸動(dòng)脈粥樣硬化病變的檢出率為74.8%。其中單純IMT增厚、斑塊形成、存在單發(fā)斑塊、存在多發(fā)斑塊、單條頸動(dòng)脈受累、多條頸動(dòng)脈受累、頸動(dòng)脈支架植入術(shù)(CAS)及術(shù)后再狹窄的檢出率分別為20.3%、55.9%、20.8%、33.5%、21.6%、53.1%、0.12%和0.03%。東營地區(qū)居民頸動(dòng)脈輕度狹窄、中度狹窄、重度狹窄或閉塞的檢出率分別為73.6%、1.0%、0.2%。城市居民在頸動(dòng)脈粥樣硬化病變、斑塊形成、多發(fā)斑塊、多條頸動(dòng)脈受累檢出率均高于鄉(xiāng)村居民(P0.05)。城市和鄉(xiāng)村居民頸動(dòng)脈狹窄程度的總體構(gòu)成比有差別(P0.05)。頸動(dòng)脈粥樣硬化病變、單純IMT增厚、斑塊形成、存在多發(fā)斑塊、多條頸動(dòng)脈受累、頸動(dòng)脈支架植入術(shù)后的男性檢出率明顯高于女性(P0.05)。結(jié)論東營地區(qū)居民頸動(dòng)脈粥樣硬化的患病率較高,城市較鄉(xiāng)村居民頸動(dòng)脈粥樣硬化的患病率和病變程度更高。
[Abstract]:Objective to investigate the prevalence of carotid atherosclerosis in urban and rural residents aged more than 45 years in Dongying area. Methods A cluster random sampling method was used to select a neighborhood committee and a natural village from each of the five counties and districts in Dongying. A total of 10 182 residents aged more than 45 years were selected for carotid artery ultrasound examination. IMT thickness of carotid intima-media was measured and plaque formation was detected. The degree of lumen stenosis was analyzed statistically. Results the detection rate of carotid atherosclerosis was 74.8%. The detectable rates of IMT thickening, plaque formation, single plaque, multiple plaque, single carotid artery involvement, multiple carotid artery involvement, carotid stenting and restenosis were 20.33.35.9and 20.83.53.53.10.12% and 0.03%, respectively. The detection rates of mild stenosis, moderate stenosis and severe stenosis or occlusion of carotid artery in Dongying area were 73.6 and 1.0 respectively. The detection rate of carotid atherosclerosis, plaque formation, multiple plaques and multiple carotid arteries in urban residents was higher than that in rural residents (P 0.05). The overall ratio of carotid artery stenosis in urban and rural residents was different (P 0.05). Carotid atherosclerosis, simple IMT thickening, plaque formation, multiple plaques, multiple carotid artery involvement, carotid stent implantation in men was significantly higher than that in women (P 0.05). Conclusion the prevalence of carotid atherosclerosis in Dongying area is higher than that in rural area.
【作者單位】： 勝利油田中心醫(yī)院健康管理部;青島大學(xué)附屬醫(yī)院健康管理中心;青島大學(xué)附屬醫(yī)院血管外科;
【分類號(hào)】：R543.4

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本文編號(hào)：1979498