CAJ | 학술논문

目的：探讨颈动脉内中膜厚度在急性心肌梗死、1-3个心血管发病危险因素及同期健康体检者颈动脉内中膜厚度的差异及干预半年后颈动脉内中膜厚度变化。方法门诊随机选取健康体检者测颈动脉内中膜厚度、合并高血压、高血脂、糖尿病等1-3个危险因素的患者及心血管科住院急性心肌梗死患者比较颈动脉内中膜厚度，并进行半年复查。结果健康人群、合并心血管发病危险因素及急性心肌梗死患者颈动脉内中膜厚度有明显的差异，干预后厚度变薄，斑块发生机会减少，差异具有显著性。结论颈动脉内中膜厚度可作为心血管疾病发病及病情观察重要的指标，可能成为心血管发病独立的危险因素之一。
목적：탐토경동맥내중막후도재급성심기경사、1-3개심혈관발병위험인소급동기건강체검자경동맥내중막후도적차이급간예반년후경동맥내중막후도변화。방법문진수궤선취건강체검자측경동맥내중막후도、합병고혈압、고혈지、당뇨병등1-3개위험인소적환자급심혈관과주원급성심기경사환자비교경동맥내중막후도，병진행반년복사。결과건강인군、합병심혈관발병위험인소급급성심기경사환자경동맥내중막후도유명현적차이，간예후후도변박，반괴발생궤회감소，차이구유현저성。결론경동맥내중막후도가작위심혈관질병발병급병정관찰중요적지표，가능성위심혈관발병독립적위험인소지일。
Objective To investigate the carotid artery intima-media thickness differences in acute myocardial infarction, 1 -3 risk factors of cardiovascular disease and differences of healthy people and changes of carotid intima-media thickness in the first half year of the intervention.Methods In patients with acute myocardial infarction compared with carotid intima-media thickness in patients and cardiovascular division method of clinic were randomly selected healthy subjects measured carotid intima-media thickness, hypertension, hyperlipidemia, diabetes and other 1-3 risk factors, and six months fol ow-up. Result The healthy crowd, and cardiovascular risk factors in patients with acute myocardial infarction and carotid artery intima-media thickness have significant differences in prognosis, stem thickness, plaque incidence decreased, the difference was significant. Conclusion Carotid intima-media thickness can be used as cardiovascular morbidity and disease index were important, may be one of the independent factors of cardiovascular risk.