中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2010年
3期
208-211
,共4页
薛利芳%张久宏%于蕾%王雪%郭继鸿
薛利芳%張久宏%于蕾%王雪%郭繼鴻
설리방%장구굉%우뢰%왕설%곽계홍
冠状动脉疾病%颈动脉疾病%超声检查,多普勒
冠狀動脈疾病%頸動脈疾病%超聲檢查,多普勒
관상동맥질병%경동맥질병%초성검사,다보륵
Coronary disease%Carotid artery disease%Ultrasonography,doppler
目的 探讨老年冠心病患者颈动脉超声特征及血流动力学变化.方法 根据冠状动脉造影结果,将548例患者分为:冠心病组373例,对照组175例.再将冠心病组是否合并心肌梗死分为:心肌梗死组160例,非心肌梗死组213例.所有患者年龄均在60岁以上,全部行颈动脉超声检测.运用统计软件分析所检测的颈动脉声像图和血流动力学参数.结果 冠心病组的颈动脉内中膜厚度、斑块厚度、斑块积分分别为(0.96±0.24)mm,(1.90±0.36)mm,(2.2±0.7)分均高于对照组的颈动脉内中膜厚度(0.78±0.11)mm,斑块厚度(1.66±0.13)mm和斑块积分(1.9±0.4)分(t分别为14.81,27.89,27.83,P均为0.00);冠心病组有斑块者161例(43.2%)高于对照组有斑块者7例(4.0%),差异有统计学意义(χ~2=337.18,P=0.00);心肌梗死组有斑块者81.3%,高于非心肌梗死组的14.6%(χ~2=60.88,P=0.00);冠心病组的颈动脉峰值血流速度(77.0±11.9)cm/s和阻力指数0.77±0.06均较对照组的血流速度(65.2±3.1)cm/s和阻力指数0.67±0.08高(t分别为12.26,50.43,P均为0.00).结论 颈动脉超声不仅可作为评价老年冠心病患者的一个窗口,而且可以预测老年冠心病病程的严重程度.
目的 探討老年冠心病患者頸動脈超聲特徵及血流動力學變化.方法 根據冠狀動脈造影結果,將548例患者分為:冠心病組373例,對照組175例.再將冠心病組是否閤併心肌梗死分為:心肌梗死組160例,非心肌梗死組213例.所有患者年齡均在60歲以上,全部行頸動脈超聲檢測.運用統計軟件分析所檢測的頸動脈聲像圖和血流動力學參數.結果 冠心病組的頸動脈內中膜厚度、斑塊厚度、斑塊積分分彆為(0.96±0.24)mm,(1.90±0.36)mm,(2.2±0.7)分均高于對照組的頸動脈內中膜厚度(0.78±0.11)mm,斑塊厚度(1.66±0.13)mm和斑塊積分(1.9±0.4)分(t分彆為14.81,27.89,27.83,P均為0.00);冠心病組有斑塊者161例(43.2%)高于對照組有斑塊者7例(4.0%),差異有統計學意義(χ~2=337.18,P=0.00);心肌梗死組有斑塊者81.3%,高于非心肌梗死組的14.6%(χ~2=60.88,P=0.00);冠心病組的頸動脈峰值血流速度(77.0±11.9)cm/s和阻力指數0.77±0.06均較對照組的血流速度(65.2±3.1)cm/s和阻力指數0.67±0.08高(t分彆為12.26,50.43,P均為0.00).結論 頸動脈超聲不僅可作為評價老年冠心病患者的一箇窗口,而且可以預測老年冠心病病程的嚴重程度.
목적 탐토노년관심병환자경동맥초성특정급혈류동역학변화.방법 근거관상동맥조영결과,장548례환자분위:관심병조373례,대조조175례.재장관심병조시부합병심기경사분위:심기경사조160례,비심기경사조213례.소유환자년령균재60세이상,전부행경동맥초성검측.운용통계연건분석소검측적경동맥성상도화혈류동역학삼수.결과 관심병조적경동맥내중막후도、반괴후도、반괴적분분별위(0.96±0.24)mm,(1.90±0.36)mm,(2.2±0.7)분균고우대조조적경동맥내중막후도(0.78±0.11)mm,반괴후도(1.66±0.13)mm화반괴적분(1.9±0.4)분(t분별위14.81,27.89,27.83,P균위0.00);관심병조유반괴자161례(43.2%)고우대조조유반괴자7례(4.0%),차이유통계학의의(χ~2=337.18,P=0.00);심기경사조유반괴자81.3%,고우비심기경사조적14.6%(χ~2=60.88,P=0.00);관심병조적경동맥봉치혈류속도(77.0±11.9)cm/s화조력지수0.77±0.06균교대조조적혈류속도(65.2±3.1)cm/s화조력지수0.67±0.08고(t분별위12.26,50.43,P균위0.00).결론 경동맥초성불부가작위평개노년관심병환자적일개창구,이차가이예측노년관심병병정적엄중정도.
Objective To discuss the uhrasonography and hemodynamic characteristics of carotid atherosclerosis in elderly patients with coronary heart disease (CHD).Methods The 548 people were divided into CHD group (n = 373) and control group (n = 175) by the coronary angiography.And the patients in CHD group were sorted into myocardial infarction (MI) group (n= 160) and non-MI group (n= 213).All patients were above 60 years of age, and underwent carotid artery ultrasound examination.The data of carotid sonography and hemodynamics were classified and analyzed using SPSS 10.0 software.Results The carotid intima-media thickness (IMT), plaque thickness and score were much more in CHD group than in control group [(0.96±0.24) mm vs.(0.78±0.11) mm, (1.90±0.36) mm vs.(1.66±0.13)mm, (2.2±0.7) vs.(1.9±0.4), t= 14.81, 27.89 and 27.83, all P=0.00].A total of 161 (43.2%) patients had atherosclerotie plaques in CHD group, and there were 7 (4.0%) people with plaques in healthy control group(χ~2 =337.18, P =0.00).And there were 81.3% of patients with plaques in MI group, it was more than non-MI group, in which there were 12.9% of patients with plaques (χ~2 =60.88, P=0.00).The carotid peak systolic velocity (PSV) and resistance index (RI) were both higher in CHD group than in control group [(77.0±11.9) cm/s vs.(65.2±3.1) cm/s and 0.77±0.06 vs.0.67±0.08, (t= 12.26 and 50.43, P=0.00)].Conclusions Carotid ultrasonography could evaluate not only CHD, but also CHD severity in the elderly.
