《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 591-594.

• 特稿 • 上一篇    下一篇

低频超声治疗对颈动脉易损斑块的效果

王风云,李延辉,杨霞峰,冯春青,孙义华,杨晓倩   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Effect of Low Frequency Ultrasound on Carotid Plaque

WANG Feng-yun, LI Yan-hui, YANG Xia-feng, FENG Chun-qing, SUN Yi-hua, YANG Xiao-qian   

  1. Cerebral Diseases Hospital, Liaocheng People's Hospital, Liaocheng, Shandong 252000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

摘要: 目的观察低频超声治疗对颈动脉易损斑块的影响。方法156 例颈动脉粥样硬化患者分为治疗组(n=80)和对照组(n=76)。对照组采用常规药物治疗,治疗组在对照组基础上联合低频超声治疗。观察治疗前后患者颈部动脉斑块大小、形态,颈动脉狭窄程度以及血脂水平,记录两组患者不良反应发生情况。结果两组患者治疗后内中膜厚度(IMT)、斑块直径、斑块积分均降低(P<0.05),治疗组IMT、斑块直径、斑块积分低于对照组(P<0.05),治疗组动脉中度狭窄率和重度狭窄率低于对照组(P<0.05)。治疗后两组总胆固醇、低密度脂蛋白水平均降低(P<0.05),治疗组低于对照组(P<0.05)。两组患者均未出现严重的不良反应。结论低频超声疗法可以有效治疗颈动脉粥样斑块所致颈动脉狭窄。

关键词: 低频超声治疗, 颈动脉, 动脉粥样硬化, 动脉斑块, 动脉狭窄

Abstract: Objective To observe the effects of low frequency ultrasound on carotid artery plaque and artery stenosis. Methods 156 patients with carotid atherosclerosis were divided into treatment group (n=80) and control group (n=76). The control group was administered routine medicine, while the treatment group accepted low frequency ultrasound therapy in addition. The size and shape of carotid artery plaque, severity of stenosis and the level of lipid were observed before and after treatment, and the side-effects were recorded. Results The intima-media thickness (IMT), diameter of plaque, plaque score decreased after treatment in both groups, and decreased more in the treatment group than in the control group (P<0.05); while the frequence of moderate stenosis and severe stenosis was less (P<0.05). The levels of low density lipoprotein- cholesterol and total cholesterol decreased in both groups after treatment (P<0.05), and decreased more in the treatment group than in the control group (P<0.05). No serious side-effect was observed. Conclusion Low frequency ultrasound can reduce the atherosclerotic plaques in carotid artery and relieve the stenosis.

Key words: low frequency ultrasound therapy, carotid, atherosclerosis, artery plaque, artery stenosis