中国卒中杂志2017，Vol.12Issue(5)：421-424,4.DOI:10.3969/j.issn.1673-5765.2017.05.009
高血压患者双侧颈动脉血流和形态的偏侧差异性分析
Analysis of Effect Difference of Hypertension on Hemodynamics and Wall Thickness of Bilateral Carotid Arteries
摘要
Abstract
Objective To investigate the effect difference of hypertension on the hemodynamics and wall thickness of bilateral carotid arteries. Methods All subjects were divided into two groups: fifty-two hypertension patients in hypertension group and forty-six healthy people as control. The pulsatility index (PI), resistance index (RI), peak systolic velocity (PSV), end diastolic velocity (EDV), and intima-media thickness (IMT) of bilateral common carotid arteries of all subjects were detected by color Doppler ultrasound. The above indexes were compared to analyze the difference between left and right carotid artery in two groups, and ipsilateral difference between the two groups. Results In hypertension group: the PI (P=0.019), RI (P=0.012) and IMT (P=0.043) of common carotid artery were greater on the left side than that on the right side, while there was no significant difference in blood flow velocity (PSV, EDV) between both sides (P>0.05). In healthy group:there were no significant difference in all the indexes of carotid artery between two sides (P>0.05). Comparing the two groups, the results were that IMT and RI of common carotid artery in hypertension group were higher than that of ipsilateral artery in healthy group (left IMT: P=0.002; right IMT:P=0.017; left RI: P=0.023; right RI: P=0.024), while the PI difference was only found on the left side (hypertension group > healthy group: P=0.011). There were no significant difference in EDV and PSV between the two groups (P>0.05).Conclusion The influence of primary hypertension on the hemodynamics and wall thickness of carotid artery on the left side was greater than on the right side.关键词
高血压/颈动脉/血流动力学/内-中膜厚度Key words
Hypertension/Carotid artery/Hemodynamics/Intima-media thickness (IMT)引用本文复制引用
姜帆,卢柳西,姜中碧,田梦婕,金戈,李兴贵,展群岭..高血压患者双侧颈动脉血流和形态的偏侧差异性分析[J].中国卒中杂志,2017,12(5):421-424,4.基金项目
重庆市卫生与计划委员会医学科研计划项目[《脑梗死相关脑动脉迂曲的分类》(2015MSXM113)]重庆市南岸区科技攻关计划项目[《缺血性脑卒中患者脑血管自动调节功能受损机制与干预研究》(2016-2018)] （2015MSXM113）
