[1]罗川. 颈动脉多普勒超声对慢性肾病患者动脉粥样硬化程度及血流动力学的诊断价值[J].中国医学物理学杂志,2019,36(4):479-482.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.021]
　LUO Chuan. Diagnostic value of carotid Doppler ultrasound for atherosclerosis and hemodynamic status in patients with chronic renal diseases[J].Chinese Journal of Medical Physics,2019,36(4):479-482.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.021]
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 颈动脉多普勒超声对慢性肾病患者动脉粥样硬化程度及血流动力学的诊断价值()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第4期
页码:
479-482
栏目:
医学生物物理
出版日期:
2019-04-25

文章信息/Info

Title:
 Diagnostic value of carotid Doppler ultrasound for atherosclerosis and hemodynamic status in patients with chronic renal diseases
文章编号:
1005-202X（2019）04-0479-04
作者:
 罗川
 长沙市第一医院B超室， 湖南 长沙 410005
Author(s):
 LUO Chuan
 Room of B-scan Ultrosound, the First Hospital of Changsha, Changsha 410005, China
关键词:
 ; 多普勒超声; 慢性肾病; 颈动脉; 动脉粥样硬化; 血流动力学
Keywords:
 ; Keywords: Doppler ultrasound;  chronic renal disease;  carotid artery;  atherosclerosis;  hemodynamics
分类号:
R445.1；R541.4
DOI:
DOI:10.3969/j.issn.1005-202X.2019.04.021
文献标志码:
A
摘要:
 【摘要】目的：研究颈动脉多普勒超声对慢性肾病患者动脉粥样硬化程度及血流动力学的诊断价值。方法：随机选取长沙市第一医院收治的慢性肾病患者80例为研究对象，其中包括40例血液透析患者，40例腹膜透析患者，并同期选取健康体检者40例作为对照组，对比分析各组颈动脉多普勒超声检查结果。结果：血液透析组和腹膜透析组患者的内中膜厚度、颈总及颈内动脉峰值血流速度、颈总及颈内动脉舒张末血流速度均明显高于对照组（P<0.05），且血液透析组内中膜厚度与腹膜透析组比较差异并不显著（P>0.05）；但是血液透析组颈总及颈内动脉峰值血流速度及动脉舒张末血流速度均明显低于腹膜透析组（P<0.05）。结论：颈动脉多普勒超声能够有效测量慢性肾病患者颈总及颈内动脉峰值血流速度、舒张末血流速度及内中膜厚度，对防治患者出现心脑血管事件具有积极作用。
Abstract:
 Abstract: Objective To explore the value of carotid Doppler ultrasound in the diagnosis of atherosclerosis and hemodynamic status in patients with chronic renal diseases. Methods Eighty patients with chronic kidney diseases in the First Hospital of Changsha, including 40 patients receiving hemodialysis and 40 patients receiving peritoneal dialysis, were enrolled in this study. Meanwhile, 40 healthy subjects were selected as control group. The results obtained with carotid Doppler ultrasound in different groups were compared. Results The intima-media thickness, the peak blood flow velocities in common carotid artery and internal carotid artery, the end-diastolic blood flow velocities in common carotid artery and internal carotid artery in hemodialysis group and peritoneal dialysis group were higher than those in control group (P<0.05), and no significant differences were found in intima-media thickness between hemodialysis group and peritoneal dialysis group (P>0.05). However, the blood velocities in common carotid artery and internal carotid artery in hemodialysis group were significantly lower than those in peritoneal dialysis group (P<0.05). Conclusion Carotid Doppler ultrasound can effectively measure intima-media thickness, and the peak blood flow velocities and end-diastolic blood flow velocities in common carotid artery and internal carotid artery in patients with chronic kidney diseases, which is helpful for the prevention and treatment of cerebrovascular diseases in patients with chronic kidney diseases.

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备注/Memo

备注/Memo:
 【收稿日期】2018-11-12
【基金项目】长沙市科技计划项目（K1403066-31）
【作者简介】罗川，主治医师，研究方向：超声医学，E-mail: 1531430023@qq.
com
更新日期/Last Update: 2019-04-23