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目的研究缺血性脑血管病患者颈动脉杂音对颈部血管狭窄的预测价值。方法据颈动脉听诊将患者分为杂音和无杂音两组。排除心脏杂音、静脉杂音及甲状腺杂音的患者。结合临床资料,分析颈动脉杂音与颈动脉狭窄的相关性。结果 (1)100例有颈动脉杂音患者中67例为颈动脉狭窄者;(2)狭窄位于颈总动脉分叉前后且狭窄程度在70%～99%的患者易出现血管杂音(P<0.05)。结论在缺血性脑血管病患者中杂音与颈动脉狭窄的部位及程度有关,临床上可作为判断颈动脉是否有狭窄的一个初筛指标。
Objective To investigate the predictive value of carotid noise on the cervical stenosis in patients with ischemic cerebrovascular disease. Methods According to carotid auscultation patients were divided into murmur and no noise in both groups. Exclude heart murmur, venous murmur and thyroid murmur in patients. Combined with clinical data, analyze the correlation between carotid artery noise and carotid artery stenosis. Results (1) 67 cases of carotid stenosis were found in 100 patients with carotid artery noise; (2) Vascular murmur was easily found in patients with stenosis before and after carotid artery bifurcation (70% -99%) (P <0.05 ). Conclusions In patients with ischemic cerebrovascular disease, noise and carotid stenosis site and extent of the clinical can be used as a marker to determine whether there is a narrow stenosis of a screening index.