中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
21期
3235-3237
,共3页
颈动脉内膜中层厚度%尿微量白蛋白%冠状动脉疾病
頸動脈內膜中層厚度%尿微量白蛋白%冠狀動脈疾病
경동맥내막중층후도%뇨미량백단백%관상동맥질병
Carotid intima media thickness%Urinary albumin%Coronary artery disease
目的：观察冠心病患者尿微量白蛋白、颈动脉内膜中层厚度（CIMT）及冠脉 Gensini 评分水平，探讨冠脉狭窄程度与尿微量白蛋白、颈动脉内膜中层厚度的相关性。方法选取冠心病住院患者50例及健康对照组50例，比较两组间尿微量白蛋白、CIMT 及冠脉 Gensini 评分。结果冠心病组尿微量白蛋白、CIMT分别为（38．36±19．51）mg／L、（1．18±0．25）mm，健康对照组尿微量白蛋白、CIMT 分别为（27．52±15．44）mg／L、（0．76±0．17）mm，两组差异均有统计学意义（t ＝3．080，P ＝0．002；t ＝9．823，P ＝0．000），冠心病组冠脉 Gensini评分与尿微量白蛋白、CIMT 呈正相关（r ＝0．288，P ＝0．430；r ＝0．308，P ＝0．290）。结论冠心病患者尿微量白蛋白、CIMT 与冠脉狭窄程度呈正相关关系，通过测定尿微量白蛋白及颈动脉内膜中层厚度，可预测冠状动脉狭窄程度。
目的：觀察冠心病患者尿微量白蛋白、頸動脈內膜中層厚度（CIMT）及冠脈 Gensini 評分水平，探討冠脈狹窄程度與尿微量白蛋白、頸動脈內膜中層厚度的相關性。方法選取冠心病住院患者50例及健康對照組50例，比較兩組間尿微量白蛋白、CIMT 及冠脈 Gensini 評分。結果冠心病組尿微量白蛋白、CIMT分彆為（38．36±19．51）mg／L、（1．18±0．25）mm，健康對照組尿微量白蛋白、CIMT 分彆為（27．52±15．44）mg／L、（0．76±0．17）mm，兩組差異均有統計學意義（t ＝3．080，P ＝0．002；t ＝9．823，P ＝0．000），冠心病組冠脈 Gensini評分與尿微量白蛋白、CIMT 呈正相關（r ＝0．288，P ＝0．430；r ＝0．308，P ＝0．290）。結論冠心病患者尿微量白蛋白、CIMT 與冠脈狹窄程度呈正相關關繫，通過測定尿微量白蛋白及頸動脈內膜中層厚度，可預測冠狀動脈狹窄程度。
목적：관찰관심병환자뇨미량백단백、경동맥내막중층후도（CIMT）급관맥 Gensini 평분수평，탐토관맥협착정도여뇨미량백단백、경동맥내막중층후도적상관성。방법선취관심병주원환자50례급건강대조조50례，비교량조간뇨미량백단백、CIMT 급관맥 Gensini 평분。결과관심병조뇨미량백단백、CIMT분별위（38．36±19．51）mg／L、（1．18±0．25）mm，건강대조조뇨미량백단백、CIMT 분별위（27．52±15．44）mg／L、（0．76±0．17）mm，량조차이균유통계학의의（t ＝3．080，P ＝0．002；t ＝9．823，P ＝0．000），관심병조관맥 Gensini평분여뇨미량백단백、CIMT 정정상관（r ＝0．288，P ＝0．430；r ＝0．308，P ＝0．290）。결론관심병환자뇨미량백단백、CIMT 여관맥협착정도정정상관관계，통과측정뇨미량백단백급경동맥내막중층후도，가예측관상동맥협착정도。
Objective To observe the microdose albumin in urine,carotid intima -media thickness(CIMT) of coronary heart disease(CHD)patients′and coronary Gensini score level,to investigate the correlation between the extent of coronary stenosis and microalbuminuria,CIMT.Methods 50 cases of hospitalized patients with CHD and healthy control group of 50 cases were selected,to compare the score between the two groups of microalbuminuria, CIMT and coronary Gensini.Results CHD group:microalbuminuria and CIMT were (38.36 ±19.51 )mg/L, (1.18 ±0.25)mm respectively.Healthy control group:microalbuminuria and CIMT were (27.52 ±15.44)mg/L, (0.76 ±0.17)mm respectively.Differences between the two groups were statistically significant(t =3.080,P =0.002;t =9.823,P =0.000).CHD group:coronary Gensini score was positively correlated with microalbuminuria, CIMT(r =0.288,P =0.430 r =0.308,P =0.290).Conclusion The correlation between CHD patients'microalbu-minuria,CIMT and the degree of coronary artery stenosis is positive.By measuring the microalbuminuria and CIMT,we can predict the extent of coronary artery stenosis.
