在初级保健中,对腹腔大动脉动脉瘤进行超声波查
Antonio López-Téllez1, José Manuel Ramírez Torres1, Estrella Pérez Vázquez2
1Centro de Salud Puerta Blanca, Málaga, España.
概括
在初级保健中,超声波查有效地检测高危人群的腹腔大动脉动脉瘤 (AAA). 这种方法可以识别亚临床动脉样硬化,使血管风险重新分类和早期干预这种高死亡率的疾病.
科学领域:
- 血管外科 血管外科
- 预防性心脏病学 预防性心脏病学
- 主要护理医学 医疗保健
背景情况:
- 腹腔大动脉瘤 (AAA) 是西班牙初级保健中目前没有查的重要死亡原因.
- 早期发现AAA对于降低死亡率至关重要.
研究的目的:
- 评估超声波对于在危险人群中检测AAA在初级保健中的实用性.
- 为了确定需要重新分类血管风险 (VR) 的患者.
- 探索AAA,动脉斑块和其他危险因素之间的关联.
主要方法:
- 一个描述性的,多中心的,在初级保健机构进行的横截面研究.
- 纳入标准:高血压男性 (65-75岁,吸烟者/前吸烟者) 或具有AAA家族史的个人 (≥50岁).
- 测量包括腹部大动脉/阴动脉直径,动脉样硬化斑块检测 (大动脉和大脑动脉) 和VR计算 (SCORE).
主要成果:
- 分析了150名患者 (平均年龄为68.3±5岁,男性为89.3%).
- AAA的患病率为8% (12/150),其中8.7%显示出大动脉切开症.
- 50%的受试者进行了VR重新分类;AAA/阳与状腺斑块,吸烟和脂蛋白有关.
结论:
- 在患有血管风险的患者中,AAA的患病率特别高.
- 初级保健超声波查有效检测AAA和亚临床动脉样硬化.
- 这种查促进了VR的重新分类,突出了其在管理风险人群中的价值.
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