CAJ | 학술논문

目的:研究探讨踝臂指数与冠心病严重程度的相关性并评价其预测价值.方法:笔者所在医院2009年2月-2012年3月收治的98例冠心病患者为冠心病组,根据冠状动脉造影结果中病变数量分为单支病变组(41例)和多支病变组(57例),根据严重程度分为轻度病变组(72例)和严重病变组(26例),同时选择同期的健康体检者50例作为健康组,对比健康组和冠心病组、单支病变组和多支病变组、轻度病变组和严重病变组的踝臂指数差异.结果:冠心病组患者踝臂指数明显低于健康组,差异有统计学意义(P<0.05),多支病变组患者的踝臂指数明显低于单支病变组,差异有统计学意义(P<0.05),轻度病变组患者的踝臂指数明显高于严重病变组,差异有统计学意义(P<0.05).结论:踝臂指数与冠心病严重程度有明显的相关性,患者疾病越严重,其踝臂指数越小.
목적:연구탐토과비지수여관심병엄중정도적상관성병평개기예측개치.방법:필자소재의원2009년2월-2012년3월수치적98례관심병환자위관심병조,근거관상동맥조영결과중병변수량분위단지병변조(41례)화다지병변조(57례),근거엄중정도분위경도병변조(72례)화엄중병변조(26례),동시선택동기적건강체검자50례작위건강조,대비건강조화관심병조、단지병변조화다지병변조、경도병변조화엄중병변조적과비지수차이.결과:관심병조환자과비지수명현저우건강조,차이유통계학의의(P<0.05),다지병변조환자적과비지수명현저우단지병변조,차이유통계학의의(P<0.05),경도병변조환자적과비지수명현고우엄중병변조,차이유통계학의의(P<0.05).결론:과비지수여관심병엄중정도유명현적상관성,환자질병월엄중,기과비지수월소.
@@@@Objective:To study the correlation of the ankle-brachial index and severity of coronary heart disease,and evaluate the predictive value. Methods:98 patients with coronary artery disease as coronary disease group,which were grouped into single-vessel group(n=41) and multi-vessel group(n=57) according to the lesion number,and into slight lesion group(n=72) and severe lesion group(n=26) according to the severity.50 healthy people were chosen as healthy group in the corresponding period.The differences of ankle-brachial between healthy group and coronary disease group,single-vessel group and multi-vessel group,slight lesion group and severe lesion group were analyzed.Results:The ankle brachial index of coronary disease group was apparently lower than healthy group,the difference had statistical significance(P<0.05),and multi-vessel group was obviously lower than single-vessel group,the difference had statistical significance as well(P<0.05).Slight lesion group’s ankle brachial index was much higher than severe lesion group,the difference between them was statistically significant(P<0.05).Conclusion:The ankle-brachial index and the severity of coronary heart disease have a significant correlation,patients with more severe disease have smaller ankle-brachial index.