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目的:应用彩色多普勒超声(CDFI)和经颅多普勒超声(Transcranial Doppler,TCD)评估冠心病患者颈动脉内-中膜增厚与颅内血管粥样硬化的相关性。方法:100例冠心病患者和100例同期正常体检者作为对照,均行颈动脉超声检查和TCD检查。结果:冠心病患者颈动脉粥样硬化和脑动脉硬化检出率明显高于对照组,差异有统计学意义(P<0.05)。结论:冠心病患者的颈动脉与脑动脉硬化病变之间有着显著的相关性,可根据窗口颈动脉CDFI的筛查,有目的地进行TCD评估颅内动脉病变,有利于临床指导治疗和二级预防脑血管病。
OBJECTIVE: To evaluate the relationship between carotid IMT and coronary atherosclerosis in patients with coronary heart disease by color Doppler ultrasonography (CDFI) and transcranial Doppler (TCD). Methods: 100 cases of coronary heart disease patients and 100 cases of normal subjects as control, were performed carotid ultrasound and TCD examination. Results: The detection rate of carotid atherosclerosis and cerebral arteriosclerosis in CHD patients was significantly higher than that in control group (P <0.05). Conclusion: There is a significant correlation between carotid artery and cerebral arteriosclerotic lesions in patients with coronary heart disease. According to the CDFI screening of window carotid artery, TCD can be used to evaluate intracranial arterial disease, which is helpful for clinical guidance and secondary level Prevention of cerebrovascular disease.