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极速脉搏波技术在年龄相关的颈动脉粥样硬化进展程度定量评估中的应用价值
作者:戴萍  王晗  李宏波  朱正球  刘牛  吴琳琳  黄辉 
单位:江苏省中医院 超声医学科, 江苏 南京 210029
关键词:极速脉搏波技术 颈动脉 年龄相关的颈动脉粥样硬化 
分类号:R445.1
出版年·卷·期(页码):2018·46·第一期(7-11)
摘要:

目的:探讨极速脉搏波(ufPWV)技术定量评估年龄相关颈动脉粥样硬化进展程度的应用价值。方法:选取健康体检者100例,21~30岁、31~40岁、41~50岁、51~60岁、61~70岁5个年龄组各20例,各年龄组男女比均为1:1。利用ufPWV技术检测每位受检者颈动脉收缩早期脉搏波速度(BS)和收缩末期脉搏波速度(ES)。取ES与BS的差值得出脉搏速度差(DPWV),计算其与脉压差(DP)的比值(DPWV/DP),进一步分析血压对脉搏波速度(PWV)的影响。结果:BS、ES在各年龄组之间差异均有统计学意义(分别P=0.000、P=0.000);相关性分析显示,BS、ES均与年龄有显著相关性(分别r=0.454,P=0.000;r=0.789,P=0.000)。DPWV及DPWV/DP在各年龄组之间差异均有统计学意义(分别P=0.000、P=0.000);DPWV及DPWV/DP与年龄均有显著相关性(分别r=0.690,P=0.000;r=0.647,P=0.000)。结论:无论血压校正与否,BS、ES均可作为评估年龄相关颈动脉粥样硬化进展程度的有效指标,且ES的价值明显优于BS。

Objective:To explore the application value of ultrafast ultrasound imagine pulse wave velocity technology(ufPWV) on quantitative evaluation of age-related carotid atherosclerosis progression.Methods:One hundred healthy subjects were selected and divided into five age groups (21-30 years old, 31-40 years old, 41-50 years old, 51-60 years old and 61-70 years old) with 20 subjects in each group. The ratio of male to female in each age group was 1:1.The ufPWV technique was used to measure the pulse wave velocity of the beginning of the systole(BS) and the end of the systole(ES). The difference value between ES and BS was calculated to obtain the difference of pulse wave velocity(DPWV),and the ratio of DPWV to the difference of pulse pressure(DP) was further analyzed to study the influence of blood pressure on pulse wave velocity(PWV). Results:ES and BS were statistically significant among the all groups(P=0.000,P=0.000,respectively). According to results of correlation analysis, BS and ESwere positively correlated with age (r=0.454,P=0.000; r=0.789, P=0.000;respectively).DPWV and DPWV/DP were statistically significant among the all groups (P=0.000,P=0.000,respectively). The results of correlation analysis showed that DPWV and DPWV/DP were significantly correlated with age (r=0.690, P=0.000; r=0.647, P=0.000,respectively). Conclusion:BS and ES can be used as a effectiveindicator of age-related carotid atherosclerosis progression no matter whether the blood pressure is corrected or not, and ES is superior to BS.

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