CAJ | 학술논문

[目的]探讨踝臂指数（ABI）与冠状动脉粥样硬化及其危险因素的相关性。[方法]对136例行冠状动脉造影的患者，收集患者的年龄、性别、体质量指数、吸烟史、既往病史等资料，并行ABI测量及生化检查，对数据进行统计学处理，分析其间及其与冠状动脉狭窄程度的相关性。[结果]双支病变组和多支病变组的ABI显著低于对照组（ P ＜0．05）；ABI与年龄、吸烟量、糖尿病等危险因素存在明显相关性（ P ＜0．01，P＜0．05）；反映冠脉病变狭窄程度的 Gensini积分与 ABI之间存在显著负相关（r＝-0．3557， P ＜0．01）。[结论]ABI与冠状动脉硬化的相关危险因素密切相关，并对冠状动脉病变狭窄程度具有较好的预测价值。
[목적]탐토과비지수（ABI）여관상동맥죽양경화급기위험인소적상관성。[방법]대136례행관상동맥조영적환자，수집환자적년령、성별、체질량지수、흡연사、기왕병사등자료，병행ABI측량급생화검사，대수거진행통계학처리，분석기간급기여관상동맥협착정도적상관성。[결과]쌍지병변조화다지병변조적ABI현저저우대조조（ P ＜0．05）；ABI여년령、흡연량、당뇨병등위험인소존재명현상관성（ P ＜0．01，P＜0．05）；반영관맥병변협착정도적 Gensini적분여 ABI지간존재현저부상관（r＝-0．3557， P ＜0．01）。[결론]ABI여관상동맥경화적상관위험인소밀절상관，병대관상동맥병변협착정도구유교호적예측개치。
[Objective] To explore the relationship of ankle-brachial index(ABI) with coronary atheroscle-rosis and the risk factors .[Methods] Totally 136 patients underwent coronary angiography .The data such as the age ,gender ,body mass index (BMI) ,smoking history and past history of patients were collected .ABI was measured and biochemical parameters were examined .All the data were analyzed through a statistical process .The correlation between ABI and coronary artery stenosis was analyzed .[Results] ABI in double-ves-sel disease group and multi-vessel disease group was significantly lower than that in control group ( P<0 .05) . ABI was obviously correlated with the risk factors such as age ,smoking and diabetes mellitus( P<0 .01 ,P<0 .05) .Gensini score reflecting the degree of coronary artery stenosis was negatively correlated with ABI sig-nificantly(r= -0 .3557 ,P<0 .01) .[Conclusion]ABI is closely associated with the risk factors related to cor-onary atherosclerosis ,and has good value for predicting the severity of coronary artery stenosis .