中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
10期
47-49,53
,共4页
冠心病%体层摄影术%升主动%脉弹性%冠状动脉狭窄
冠心病%體層攝影術%升主動%脈彈性%冠狀動脈狹窄
관심병%체층섭영술%승주동%맥탄성%관상동맥협착
Coronary Heart Disease%Tomography%Ascending Aorta Elastic%Coronary Artery Stenosis
目的：探讨冠心病患者升动脉弹性与冠状动脉狭窄程度的相关性。方法选择2013年5月-2014年5月入住我院拟诊为冠心病患者126例为研究对象，所有患者均行DSCT冠脉造影检查，根据有无冠脉狭窄分为冠脉狭窄组、无冠脉狭窄组，根据冠脉狭窄程度分为轻度狭窄组、中度狭窄组、重度狭窄组；比较不同组间主动脉弹性参数和Gensini评分。结果1冠脉狭窄组相对直径变化率(%Ao)、膨胀性(AoD)、顺应性(AoC)明显低于非狭窄组，僵硬度(AoSI)、Gensini评分明显高于非狭窄组(t=6.849-34.201, P<0.05, P<0.01)；2轻度组%Ao、AoD、AoC明显高于中度组、重度组，AoSI、Gensini评分明显低于中度组、重度组，中度组%Ao、AoD、AoC明显高于重度组， AoSI、Gensini明显低于重度组(t=3.456-17.542,P<0.05、0.01)。3Gensini评分与AoSI呈显著正相关(r=0.722,P<0.001)，与%Ao、AoD呈显著负相关(r=-0.432、0.261，P<0.001)。结论升主动弹性指标与冠状动脉狭窄程度有良好的相关性，定期检测升主动脉血管弹性功能有助于亚临床状态患者的早期干预与治疗。
目的：探討冠心病患者升動脈彈性與冠狀動脈狹窄程度的相關性。方法選擇2013年5月-2014年5月入住我院擬診為冠心病患者126例為研究對象，所有患者均行DSCT冠脈造影檢查，根據有無冠脈狹窄分為冠脈狹窄組、無冠脈狹窄組，根據冠脈狹窄程度分為輕度狹窄組、中度狹窄組、重度狹窄組；比較不同組間主動脈彈性參數和Gensini評分。結果1冠脈狹窄組相對直徑變化率(%Ao)、膨脹性(AoD)、順應性(AoC)明顯低于非狹窄組，僵硬度(AoSI)、Gensini評分明顯高于非狹窄組(t=6.849-34.201, P<0.05, P<0.01)；2輕度組%Ao、AoD、AoC明顯高于中度組、重度組，AoSI、Gensini評分明顯低于中度組、重度組，中度組%Ao、AoD、AoC明顯高于重度組， AoSI、Gensini明顯低于重度組(t=3.456-17.542,P<0.05、0.01)。3Gensini評分與AoSI呈顯著正相關(r=0.722,P<0.001)，與%Ao、AoD呈顯著負相關(r=-0.432、0.261，P<0.001)。結論升主動彈性指標與冠狀動脈狹窄程度有良好的相關性，定期檢測升主動脈血管彈性功能有助于亞臨床狀態患者的早期榦預與治療。
목적：탐토관심병환자승동맥탄성여관상동맥협착정도적상관성。방법선택2013년5월-2014년5월입주아원의진위관심병환자126례위연구대상，소유환자균행DSCT관맥조영검사，근거유무관맥협착분위관맥협착조、무관맥협착조，근거관맥협착정도분위경도협착조、중도협착조、중도협착조；비교불동조간주동맥탄성삼수화Gensini평분。결과1관맥협착조상대직경변화솔(%Ao)、팽창성(AoD)、순응성(AoC)명현저우비협착조，강경도(AoSI)、Gensini평분명현고우비협착조(t=6.849-34.201, P<0.05, P<0.01)；2경도조%Ao、AoD、AoC명현고우중도조、중도조，AoSI、Gensini평분명현저우중도조、중도조，중도조%Ao、AoD、AoC명현고우중도조， AoSI、Gensini명현저우중도조(t=3.456-17.542,P<0.05、0.01)。3Gensini평분여AoSI정현저정상관(r=0.722,P<0.001)，여%Ao、AoD정현저부상관(r=-0.432、0.261，P<0.001)。결론승주동탄성지표여관상동맥협착정도유량호적상관성，정기검측승주동맥혈관탄성공능유조우아림상상태환자적조기간예여치료。
Objective To study correlation of ascending aorta elastic and CT imaging features in patients with coronary heart disease.Methods 126 cases patients with CHD were selected as the research object, all patients were given DSCT coronary angiography examination, according to the presence of coronary artery stenosis were divided into coronary stenosis group and no coronary stenosis group, according to the extent of coronary stenosis were divided into mild stenosis, moderate stenosis group, severe stenosis group; ascending aorta elastic parameters and the Gensini score were compared between different groups.Results 1 Coronary stenosis group % Ao, AoD, AoC were was significantly than that no stenosis group, AoSI, the Gensini score were significantly higher than no stenosis group (t=6.849-34.201, P<0.05, P<0.01); 2 Mild group % Ao, AoD, AoC were significantly higher than that of moderate group, severe group, AoSI, Gensini score were significantly lower than the moderate group and severe group, moderate group % Ao, AoD, AoC were significantly higher than that of severe group, AoSI, Gensini were significantly lower than the severe group (t=3.456-17.542, P<0.05,P<0.01); 3 Gensini score and AoSI significant positive correlation(r=0.722, P<0.001), and % Ao, AoD significant negative correlation (r=-0.432, 0.261, P<0.001).Conclusion Ascending aorta elastic and coronary artery stenosis degree have good correlation, regular detection ascending aorta elastic function help to early intervention and treatment in patients with subclinical state.
