山西医药杂志
山西醫藥雜誌
산서의약잡지
SHANXI MEDICAL JOURNAL
2015年
11期
1228-1230
,共3页
踝臂指数%肱-踝脉搏波传导速度%冠状动脉疾病
踝臂指數%肱-踝脈搏波傳導速度%冠狀動脈疾病
과비지수%굉-과맥박파전도속도%관상동맥질병
Ankle-brachial index%Brachial-ankle pulse wave velocity%Coronary disease
目的：评价肱‐踝脉搏波传导速度（baPWV ）与踝臂指数（ABI）对冠状动脉病变程度的诊断价值。方法选取我院2012年5月至2014年5月同时接受冠状动脉造影、ABI和baPWV检查的患者132例，根据冠状动脉造影结果，将患者分为非冠心病组（Ⅰ组）、冠心病单支血管病变组（Ⅱ组）、冠心病2支血管病变组（Ⅲ组）及3支病变组（Ⅳ组）。分析4组 ABI和 baPWV的差异。结果 baPWV在非冠心病组、单支病变组、2支病变组、3支病变组组间相比差异均有统计学意义（ P＜0.05），冠心病各组 baPWV 水平与Gensini积分呈正相关。ABI仅在3支病变组与其他3组相比差异有统计学意义（ P＜0.05），本组ABI诊断冠状动脉三支病变的敏感性为57％，特异性为63％。结论 baPWV升高可以反映冠状动脉早期病变，且与冠状动脉病变严重程度呈正相关；ABI降低是冠状动脉病变较晚期的指标，反映冠状动脉严重病变。
目的：評價肱‐踝脈搏波傳導速度（baPWV ）與踝臂指數（ABI）對冠狀動脈病變程度的診斷價值。方法選取我院2012年5月至2014年5月同時接受冠狀動脈造影、ABI和baPWV檢查的患者132例，根據冠狀動脈造影結果，將患者分為非冠心病組（Ⅰ組）、冠心病單支血管病變組（Ⅱ組）、冠心病2支血管病變組（Ⅲ組）及3支病變組（Ⅳ組）。分析4組 ABI和 baPWV的差異。結果 baPWV在非冠心病組、單支病變組、2支病變組、3支病變組組間相比差異均有統計學意義（ P＜0.05），冠心病各組 baPWV 水平與Gensini積分呈正相關。ABI僅在3支病變組與其他3組相比差異有統計學意義（ P＜0.05），本組ABI診斷冠狀動脈三支病變的敏感性為57％，特異性為63％。結論 baPWV升高可以反映冠狀動脈早期病變，且與冠狀動脈病變嚴重程度呈正相關；ABI降低是冠狀動脈病變較晚期的指標，反映冠狀動脈嚴重病變。
목적：평개굉‐과맥박파전도속도（baPWV ）여과비지수（ABI）대관상동맥병변정도적진단개치。방법선취아원2012년5월지2014년5월동시접수관상동맥조영、ABI화baPWV검사적환자132례，근거관상동맥조영결과，장환자분위비관심병조（Ⅰ조）、관심병단지혈관병변조（Ⅱ조）、관심병2지혈관병변조（Ⅲ조）급3지병변조（Ⅳ조）。분석4조 ABI화 baPWV적차이。결과 baPWV재비관심병조、단지병변조、2지병변조、3지병변조조간상비차이균유통계학의의（ P＜0.05），관심병각조 baPWV 수평여Gensini적분정정상관。ABI부재3지병변조여기타3조상비차이유통계학의의（ P＜0.05），본조ABI진단관상동맥삼지병변적민감성위57％，특이성위63％。결론 baPWV승고가이반영관상동맥조기병변，차여관상동맥병변엄중정도정정상관；ABI강저시관상동맥병변교만기적지표，반영관상동맥엄중병변。
Objective To evaluate brachial‐ankle pulse wave velocity (baPWV ) and ankle brachial index (ABI) values in diagnosis of coronary artery lesions .Methods One hundred and thirty‐two patients ,who under‐went coronary angiography ,ABI and baPWV examination ,were selected from May 2012 to May 2014 in our hos‐pital .According to the results of coronary angiography ,the patients were divided into non CHD group (GroupⅠ) ,coronary heart disease ,single vessel disease group (Group Ⅱ) ,coronary heart disease ,two vessel diseases group (Group Ⅲ) and three vessel diseases group (Group Ⅳ ) .The differences of ABI and baPWV of 4 groups were analyzed .Results There were significant differences between non CHD group ,single vessel disease group , double vessel lesions ,three branch lesions group in baPWV (P<0 .05) .The levels of baPWV were positively cor‐related with Gensini scores in three coronary heart disease groups .However ,significant differences in ABI were observed only in Group Ⅳ ,comparing with other three groups (P<0 .05) .In this group ,ABI can be used for di‐agnoses of three coronary artery branches lesion with sensitivity of 57% and specificity of 63% .Conclusion baP‐WV rise reflects early stage of coronary artery disease ,and was correlated to the severity of coronary artery dis‐ease .ABI decrease indicates more advanced coronary artery lesion ,reflecting the severe lesions of coronary artery .
