中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
12期
1744-1746
,共3页
罗琼%游宇光%邹良英%李法权%陈卫华%叶军%曾琪%宋建明
囉瓊%遊宇光%鄒良英%李法權%陳衛華%葉軍%曾琪%宋建明
라경%유우광%추량영%리법권%진위화%협군%증기%송건명
冠心病%颈动脉内中膜厚度%斑块
冠心病%頸動脈內中膜厚度%斑塊
관심병%경동맥내중막후도%반괴
Coronary heart disease%Carotid intima-media thickness%Plaque
目的 探讨颈动脉彩色多普勒超声检查在冠心病早期筛查中的意义.方法 选取2013年1月至2014年6月赣南医学院第一附属医院就诊的冠心病患者40例.所有患者均经冠状动脉造影证实冠状动脉有一支或多支病变.对照组随机选取本院同期体检健康者40例,对颈动脉进行彩色多普勒超声检查,测量并比较冠心病组与对照组的内,中膜厚度(IMT)及斑块情况.结果 冠心病组颈总动脉、颈动脉分叉处、颈外动脉起始处IMT值均大于对照组,差异均有统计学意义[(1.35±0.24) mm比(0.72 ±0.13)mm,(1.61±0.31)mm比(0.76±0.17)mm,(1.18 ±0.21)mm比(0.70 ±0.12)mm,均P＜0.05];颈内动脉起始处IMT值和斑块积分亦大于对照组,差异有统计学意义[(1.20 ±0.22)mm比(0.68 ±0.12)mm,(2.2±0.6)分比(0.6±0.2)分,均P＜0.01].结论 颈动脉IMT及斑块形成可以反映动脉粥样硬化,对预测冠心病有一定临床意义.
目的 探討頸動脈綵色多普勒超聲檢查在冠心病早期篩查中的意義.方法 選取2013年1月至2014年6月贛南醫學院第一附屬醫院就診的冠心病患者40例.所有患者均經冠狀動脈造影證實冠狀動脈有一支或多支病變.對照組隨機選取本院同期體檢健康者40例,對頸動脈進行綵色多普勒超聲檢查,測量併比較冠心病組與對照組的內,中膜厚度(IMT)及斑塊情況.結果 冠心病組頸總動脈、頸動脈分扠處、頸外動脈起始處IMT值均大于對照組,差異均有統計學意義[(1.35±0.24) mm比(0.72 ±0.13)mm,(1.61±0.31)mm比(0.76±0.17)mm,(1.18 ±0.21)mm比(0.70 ±0.12)mm,均P＜0.05];頸內動脈起始處IMT值和斑塊積分亦大于對照組,差異有統計學意義[(1.20 ±0.22)mm比(0.68 ±0.12)mm,(2.2±0.6)分比(0.6±0.2)分,均P＜0.01].結論 頸動脈IMT及斑塊形成可以反映動脈粥樣硬化,對預測冠心病有一定臨床意義.
목적 탐토경동맥채색다보륵초성검사재관심병조기사사중적의의.방법 선취2013년1월지2014년6월공남의학원제일부속의원취진적관심병환자40례.소유환자균경관상동맥조영증실관상동맥유일지혹다지병변.대조조수궤선취본원동기체검건강자40례,대경동맥진행채색다보륵초성검사,측량병비교관심병조여대조조적내,중막후도(IMT)급반괴정황.결과 관심병조경총동맥、경동맥분차처、경외동맥기시처IMT치균대우대조조,차이균유통계학의의[(1.35±0.24) mm비(0.72 ±0.13)mm,(1.61±0.31)mm비(0.76±0.17)mm,(1.18 ±0.21)mm비(0.70 ±0.12)mm,균P＜0.05];경내동맥기시처IMT치화반괴적분역대우대조조,차이유통계학의의[(1.20 ±0.22)mm비(0.68 ±0.12)mm,(2.2±0.6)분비(0.6±0.2)분,균P＜0.01].결론 경동맥IMT급반괴형성가이반영동맥죽양경화,대예측관심병유일정림상의의.
Objective To investigate the significance of carotid ultrasound in the early screening of coronary heart disease.Methods Totoally 40 patients with coronary heart disease from January 2013 to June 2014 were enrolled; all cases were excluded with hypertension,cerebral thrombosis,diabetes that could cause arteriosclerosis.All patients were confirmed by coronary angiography.Control group had 40 cases of healthy people ; carotid artery intima media thickness (IMT) and plaques by color ultrasonography were compared.Results The common carotid artery,the carotid artery bifurcation and external carotid artery IMT value had significant differences [(1.35±0.24)mmvs(0.72±0.13)mm,(1.61 ±0.31)mmvs (0.76±0.17)mm,(1.18±0.21)mm vs (0.70 ± 0.12) mm,P ＜ 0.05] ; there was statistical significance in carotid artery IMT value and plaque score difference [(1.20 ±0.22)mm vs(0.68 ±0.12)mm,(2.2 ±0.6) scores vs (0.6 ±0.2) scores,P＜0.01].Conclusions Carotid IMT and plaque formation can reflect atherosclerosis and have certain clinical significance to predict coronary heart disease.
