河北医药
河北醫藥
하북의약
HEBEI MEDICAL JOURNAL
2014年
17期
2583-2585
,共3页
动脉粥样硬化%冠状动脉造影术%颈动脉超声%肾动脉狭窄
動脈粥樣硬化%冠狀動脈造影術%頸動脈超聲%腎動脈狹窄
동맥죽양경화%관상동맥조영술%경동맥초성%신동맥협착
atherosclerosis%coronary arteriography%carotid artery ultrasound%renal artery stenosis
目的:探讨颈动脉与冠脉、肾动脉粥样硬化的相关性。方法129例患者冠状动脉造影后即刻行肾动脉造影及颈动脉超声,记录临床资料和造影结果,进行颈动脉硬化评分。结果129例患者中,冠心病者81例,占62骀.8%;肾动脉狭窄患者68例,占52.7%。颈动脉硬化越重,冠脉病变支数越多,肾动脉狭窄发病率越高,狭窄程度越重( P <0.05);冠脉狭窄程度与年龄、高血压、高血脂、GLU、颈动脉硬化评分及肾动脉狭窄正相关( P <0.05),与HDL负相关( P <0.05);肾动脉狭窄程度与年龄、高血压、高血脂、吸烟、CR、颈动脉硬化评分及冠脉狭窄程度正相关( P <0.05),与HDL负相关( P <0.05)。结论颈动脉硬化指数与冠脉病变程度相关,颈动脉与冠脉、肾动脉粥样硬化之间存在共同的危险因素。颈动脉硬化评分可作为冠状动脉粥样硬化的预测因子。
目的:探討頸動脈與冠脈、腎動脈粥樣硬化的相關性。方法129例患者冠狀動脈造影後即刻行腎動脈造影及頸動脈超聲,記錄臨床資料和造影結果,進行頸動脈硬化評分。結果129例患者中,冠心病者81例,佔62駘.8%;腎動脈狹窄患者68例,佔52.7%。頸動脈硬化越重,冠脈病變支數越多,腎動脈狹窄髮病率越高,狹窄程度越重( P <0.05);冠脈狹窄程度與年齡、高血壓、高血脂、GLU、頸動脈硬化評分及腎動脈狹窄正相關( P <0.05),與HDL負相關( P <0.05);腎動脈狹窄程度與年齡、高血壓、高血脂、吸煙、CR、頸動脈硬化評分及冠脈狹窄程度正相關( P <0.05),與HDL負相關( P <0.05)。結論頸動脈硬化指數與冠脈病變程度相關,頸動脈與冠脈、腎動脈粥樣硬化之間存在共同的危險因素。頸動脈硬化評分可作為冠狀動脈粥樣硬化的預測因子。
목적:탐토경동맥여관맥、신동맥죽양경화적상관성。방법129례환자관상동맥조영후즉각행신동맥조영급경동맥초성,기록림상자료화조영결과,진행경동맥경화평분。결과129례환자중,관심병자81례,점62태.8%;신동맥협착환자68례,점52.7%。경동맥경화월중,관맥병변지수월다,신동맥협착발병솔월고,협착정도월중( P <0.05);관맥협착정도여년령、고혈압、고혈지、GLU、경동맥경화평분급신동맥협착정상관( P <0.05),여HDL부상관( P <0.05);신동맥협착정도여년령、고혈압、고혈지、흡연、CR、경동맥경화평분급관맥협착정도정상관( P <0.05),여HDL부상관( P <0.05)。결론경동맥경화지수여관맥병변정도상관,경동맥여관맥、신동맥죽양경화지간존재공동적위험인소。경동맥경화평분가작위관상동맥죽양경화적예측인자。
Objective To investigate the correlation between carotid atherosclerosis and coronary artery , renal atherosclerosis.Methods One hundred and twenty -nine patients were examined by coronary arteriongraphy ,then examined immediately by renal arteriography and carotid artery ultrasound ,and the clinical data and arteriography results were recorded to carry out carotid atherosclerosis scoring .Results Among 129 patients, there were 81 cases of coronary heart disease (62.8%),68 cases of renal artery stenosis (52.7%).The more severe the carotid atherosclerosis ,the more blood vessel number of coronary artery pathological change;the higher the incidence of artery stenosis ,the more severe the stenosis degree . The stenosis degree of coronary artery was positively correlated to patient ’ s age,history of hypertension,hyperlipemia,blood sugar,carotid atherosclerosis scoring ,however,which was negatively correlated to high density lipoprotein (HDL).The stenosis degree of renal artery was positively correlated to patient ’ s age, history of hypertension, hyperlipemia, smoking history, creatinine ,carotid atherosclerosis scoring and stenosis degree of coronary artery however , which was negatively correlated to HDL.Conclusion The carotid atherosclerosis index is related with pathological change degree of coronary artery,and carotid atherosclerosis and coronary artery ,renal atherosclerosis have congenerous risk factors .So carotid atherosclerosis scoring can be regarded as predictive factor for coronary atherosclerosis .