CAJ | 학술논문

目的探寻颈动脉斑块与冠状动脉粥样硬化性心脏病严重程度之间的关系.方法选取2011年12月至2012年4月解放军总医院心内科207例(男149例、女58例)经冠状动脉造影确诊为冠心病的患者,依据造影结果分为单支病变组(69例)、双支病变组(57例)及多支病变组(81例),回顾性收集其一般临床资料及相关检查结果,并计算Crouse积分和等级积分,以及Gensini积分和Leman积分,并对其相关性进行比较.结果平均年龄及斑块检出率,双支病变组及多支病变组均高于单支病变组[(63±11)、(60±11)比(57±10)岁,82％(47例)、81％(66例)比65％(45例),均P ＜0.05)],其余指标组间差异均无统计学意义(均P＞0.05)；Crouse积分与Gensini积分(r =0.455,P ＜0.01)和Leaman积分(r=0.358,P＜0.01)均呈正相关.结论颈动脉斑块评分与冠状动脉粥样硬化严重程度存在相关性,颈动脉超声检查可以基本反映冠状动脉粥样硬化严重程度.
목적 탐심경동맥반괴여관상동맥죽양경화성심장병엄중정도지간적관계.방법 선취2011년12월지2012년4월해방군총의원심내과207례(남149례、녀58례)경관상동맥조영학진위관심병적환자,의거조영결과분위단지병변조(69례)、쌍지병변조(57례)급다지병변조(81례),회고성수집기일반림상자료급상관검사결과,병계산Crouse적분화등급적분,이급Gensini적분화Leman적분,병대기상관성진행비교.결과 평균년령급반괴검출솔,쌍지병변조급다지병변조균고우단지병변조[(63±11)、(60±11)비(57±10)세,82％(47례)、81％(66례)비65％(45례),균P ＜0.05)],기여지표조간차이균무통계학의의(균P＞0.05)；Crouse적분여Gensini적분(r =0.455,P ＜0.01)화Leaman적분(r=0.358,P＜0.01)균정정상관.결론 경동맥반괴평분여관상동맥죽양경화엄중정도존재상관성,경동맥초성검사가이기본반영관상동맥죽양경화엄중정도.
Objective To explore the relevance between carotid plaque and the severity of coronary artery disease.Methods A total of 207 patients(149 males,58 females) undergoing coronary angiography were definitely diagnosed with coronary heart disease.They were divided into 3 groups of one-vessel disease (1VD,n =69),two-vessel disease (2VD,n =57) and three-or-more vessel disease (3VD,n =81) by the number of involved vessels.Their physical findings,biochemical data and carotid ultrasonographic results were collected.And the scores of Crouse,Gensini and Leaman were calculated to compare the relevance.Results No significant differences existed among all three groups except for a higher age and the presence of plaque in 2VD and 3VD groups than 1VD group ((63 ± 11) and (60 ± 11) vs (57 ± 10)years old,82％ (n =47) and 81％ (n =66) vs 65％ (n =45),both P ＜ 0.05).Crouse had a positive correlation with Gensini (r =0.455,P＜0.01)and Leaman scores(r =0.358,P ＜0.01).Conclusion Assessment of plaque scores by carotid ultrasonography is clinically relevant for predicting the severity of coronary artery disease.