CAJ | 학술논문

目的评价冠状动脉钙化与颈动脉钙化的关系及其危险因素.方法 2周内先后完成冠状动脉和颈动脉CT平扫检查的162例患者,采用相同的重建条件,分别进行钙化积分的测量,用Spearman相关分析进行两者的比较.同时记录患者的性别、年龄、血压、总胆固醇、甘油三脂、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、糖尿病、吸烟史、冠心病早发病史等,用Logistic回归分析冠状动脉及颈动脉钙化积分与多个临床危险因素之间的关系.结果在162例患者中,冠状动脉钙化积分(CACS)与颈动脉钙化积分之间存在线性正相关关系,r值为0.690,P<0.01.CACS的危险因素包括年龄、糖尿病、总胆固醇、LDL,颈动脉钙化的危险因素为年龄和糖尿病.结论冠状动脉钙化与颈动脉钙化呈线性正相关,但冠状动脉与颈动脉钙化的危险因素不完全相同.
목적 평개관상동맥개화여경동맥개화적관계급기위험인소.방법 2주내선후완성관상동맥화경동맥CT평소검사적162례환자,채용상동적중건조건,분별진행개화적분적측량,용Spearman상관분석진행량자적비교.동시기록환자적성별、년령、혈압、총담고순、감유삼지、고밀도지단백(HDL)、저밀도지단백(LDL)、당뇨병、흡연사、관심병조발병사등,용Logistic회귀분석관상동맥급경동맥개화적분여다개림상위험인소지간적관계.결과 재162례환자중,관상동맥개화적분(CACS)여경동맥개화적분지간존재선성정상관관계,r치위0.690,P<0.01.CACS적위험인소포괄년령、당뇨병、총담고순、LDL,경동맥개화적위험인소위년령화당뇨병.결론 관상동맥개화여경동맥개화정선성정상관,단관상동맥여경동맥개화적위험인소불완전상동.
Objective To determine the correlation between coronary artery calcium score (CACS) and carotid calcification, and their risk factors. Methods 162 cases underwent coronary and carotid pre-contrast CT scan with dual-source CT scanner within 2 weeks. The reconstructed parameters were the same. The calcifications of coronary and carotid arteriae were quantified by calculating the Agatston score. The main risk factors such as age, sex, hypertension, total cholesterol, low-density-lipoprotein cholesterol (LDL), high-density-lipoprotein cholesterol (HDL), diabetes, smoking and coronary heart disease history were recorded. The CACS and carotid calcium scores were comparatively analyzed using Spearman's correlative analysis. The relativity between the risk factors and CACS scores, carotid calcium scores. Results In 162 subjects, there was positive relativity between CACS and carotid cal-cium score(r=0.690, P<0.01). Logistic regression analysis showed that CACS were of relativity with age, diabetes, total cholesterol and LDL cholesterol,otherwise, carotid calcium scores only with age and diabetes. Conclusion There is significant correlation be-tween CACS and carotid calcium score, but their risk factors are not same.