中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
5期
6-7
,共2页
颈动脉%内-中膜厚度%冠状动脉硬化%相关性
頸動脈%內-中膜厚度%冠狀動脈硬化%相關性
경동맥%내-중막후도%관상동맥경화%상관성
Arteria cervicalis%Internal-media thickness%Coronary arteriosclerosis%Correlation
目的：探讨颈动脉内-中膜厚度(IMT)与冠状动脉病变程度的相关性。方法选取本院自2012年1月~2013年1月收治的136例经冠状动脉造影证实为冠心病的患者为研究对象(冠心病组， n=136)，并按照病变程度分为单支病变组(n=38)、双支病变组(n=52)和多支病变组(n=46)，选取同期冠脉造影正常的100例患者为对照组(非冠心病组， n=100)。所有患者均行双侧颈动脉超声检查，记录颈动脉IMT、斑块Crouse积分以及冠状动脉Gensini积分，分析各指标间的相关性。结果冠心病组IMT [(5.12±3.73)mm VS (1.14±0.22)mm]、斑块Crouse积分[(1.27±0.34)分VS (0.75±0.16)分]以及冠状动脉Gensini积分[(21.82±9.25)分VS (0.00±0.00)分]均明显高于非冠心病组，差异均有统计学意义(均P<0.05)；多支病变组颈动脉IMT、斑块Crouse积分以及冠状动脉Gensini积分均明显高于单支病变组和双支病变组，差异均有统计学意义(均P<0.05)；相关性分析显示冠状动脉Gensini积分与IMT(r=0.76)和斑块Crouse积分(r=0.66)均呈正相关，差异均有统计学意义(均P<0.05)。结论颈动脉内-中膜厚度与冠状动脉病变程度高度相关，及时进行颈动脉超声检查可以早期发现冠状动脉病变。
目的：探討頸動脈內-中膜厚度(IMT)與冠狀動脈病變程度的相關性。方法選取本院自2012年1月~2013年1月收治的136例經冠狀動脈造影證實為冠心病的患者為研究對象(冠心病組， n=136)，併按照病變程度分為單支病變組(n=38)、雙支病變組(n=52)和多支病變組(n=46)，選取同期冠脈造影正常的100例患者為對照組(非冠心病組， n=100)。所有患者均行雙側頸動脈超聲檢查，記錄頸動脈IMT、斑塊Crouse積分以及冠狀動脈Gensini積分，分析各指標間的相關性。結果冠心病組IMT [(5.12±3.73)mm VS (1.14±0.22)mm]、斑塊Crouse積分[(1.27±0.34)分VS (0.75±0.16)分]以及冠狀動脈Gensini積分[(21.82±9.25)分VS (0.00±0.00)分]均明顯高于非冠心病組，差異均有統計學意義(均P<0.05)；多支病變組頸動脈IMT、斑塊Crouse積分以及冠狀動脈Gensini積分均明顯高于單支病變組和雙支病變組，差異均有統計學意義(均P<0.05)；相關性分析顯示冠狀動脈Gensini積分與IMT(r=0.76)和斑塊Crouse積分(r=0.66)均呈正相關，差異均有統計學意義(均P<0.05)。結論頸動脈內-中膜厚度與冠狀動脈病變程度高度相關，及時進行頸動脈超聲檢查可以早期髮現冠狀動脈病變。
목적：탐토경동맥내-중막후도(IMT)여관상동맥병변정도적상관성。방법선취본원자2012년1월~2013년1월수치적136례경관상동맥조영증실위관심병적환자위연구대상(관심병조， n=136)，병안조병변정도분위단지병변조(n=38)、쌍지병변조(n=52)화다지병변조(n=46)，선취동기관맥조영정상적100례환자위대조조(비관심병조， n=100)。소유환자균행쌍측경동맥초성검사，기록경동맥IMT、반괴Crouse적분이급관상동맥Gensini적분，분석각지표간적상관성。결과관심병조IMT [(5.12±3.73)mm VS (1.14±0.22)mm]、반괴Crouse적분[(1.27±0.34)분VS (0.75±0.16)분]이급관상동맥Gensini적분[(21.82±9.25)분VS (0.00±0.00)분]균명현고우비관심병조，차이균유통계학의의(균P<0.05)；다지병변조경동맥IMT、반괴Crouse적분이급관상동맥Gensini적분균명현고우단지병변조화쌍지병변조，차이균유통계학의의(균P<0.05)；상관성분석현시관상동맥Gensini적분여IMT(r=0.76)화반괴Crouse적분(r=0.66)균정정상관，차이균유통계학의의(균P<0.05)。결론경동맥내-중막후도여관상동맥병변정도고도상관，급시진행경동맥초성검사가이조기발현관상동맥병변。
Objective To investigate the relevant research between internal-media thickness (IMT) of arteria cervicalis and the degree of the coronary artery lesions. Methods 136 patients with coronary heart disease confirmed by coronary angiography (coronary heart disease group, n=136) admitted at our hospital from January 2012 to January 2013 were divided into the single-vessel disease group(n=38), double branch lesion group (n=52) and multiple vessel disease group(n=46).100 cases of healthy patients were selected to be as the control group (non-coronary heart disease group, n=136).All patients were performed bilateral carotid ultrasound to record carotid IMT and plaque Crouse integral and coronary artery Gensini scores and the correlation between indicators were analyzed. Results The IMT[(5.12±3.73)mm VS(1.14±0.22)mm], plaque Crouse integral[(1.27±0.34) score VS(0.75±0.16)score]and coronary artery Gensini scores[(21.82±9.25)score VS(0.00±0.00)score]of the multiple vessel disease group were apparently higher than the non-coronary heart disease group,the differences were statistically significant(all P<0.05).The IMT, plaque Crouse integral and coronary artery Gensini scores of the coronary heart disease group were apparently higher than the single-vessel disease group group and double branch lesion group,the differences were statistically significant(all P<0.05).Correlation analysis showed that there was a positive correlation for the coronary artery Gensini scores between IMT (r=0.76)and Crouse integral(r=0.66),the differences were statistically significant(all P<0.05). Conclusion The internal-media thickness of arteria cervicalis is highly associated with the degree of coronary artery lesions, a timely manner carotid ultrasound examination can early detect the coronary artery lesions earlier.
