颈动脉和下肢动脉粥样硬化的超声检查及其危险因素分析

doi:10.13481/j.1671-587x.20150534

Abstract

Abstract:

Objective To investigate the ultrasonic examination results of carotid artery and peripheral artery atherosclerosis and their risk factors,and to clarify the effect degrees of different risk factors on the different parts of atherosclerosis. Methods 366 cases who accepted the color doppler ultrasound to exam the carotid artery and peripheral artery were divided into healthy group (n=133),simple carotid artery disease group(CAD,n=42),simple peripheral disease group (PAD,n=69),and peripheral disease combined with carotid artery disease group(CAD+PAD,n=122).The information of age,gender,smoking,drinking,high blood pressure(HBP),blood sugar, hyperlipemia and body mass index(BMI) of the objects in various groups were analyzed,and the risk factors of the incidence of different artery atherosclerosis plaque were analyzed by Logistic regression analysis. Results The detection rate of carotid plaque was 44.8% (164/366),which was 52.1% (191/366) for peripheral artery atherosclerosis.The age,rate of smoking,detection rate of HBP and detection rate of hyperglycaemia of the objects in PAD group and CAD+PAD group were higher than those in healthy group(P<0.05).The rate of smoking and rate of hyperlipemia of the objects in PAD group and CAD+PAD group were higher than those in CAD group(P<0.01).The male,elderly(45-59,60-74,and ≥75 years),smoking,and hyperglycaemia were the risk factors for the formation of peripheral artery atherosclerosis plaque(OR=2.520,OR=3.056,OR=6.895,OR=29.483,OR=4.136,OR=3.736,P<0.001). Conclusion The formation of artery atherosclerosis plaque is determined by multiple factors.The elderly,smoking and hyperglycaemia are risk factors for the formation of artery atherosclerosis plaque.Among the smoking or hyperglycaemia population,the incidence of peripheral artery atherosclerosis is obviously higher than the incidence of carotid artery atherosclerosis.

Key words: carotid artery, peripheral artery, atherosclerosis, ultrasonic inspection, risk factor

CLC Number:

R445.1

SHI Meirong, JIANG Wei, WANG Zhiyuan, SHI Weidong, SUN Ruoxue, CHEN Enqi, LIU Meihan. Ultrasonic examination of carotid artery and peripheral artery atherosclerosis and their risk factors[J].Journal of Jilin University Medicine Edition, 2015, 41(05): 1055-1059.

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Ultrasonic examination of carotid artery and peripheral artery atherosclerosis and their risk factors

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