颈动脉超声检测对冠心病及其危险因素的临床意义.pdfVIP

维普资讯 中国临床保健杂志 2007年2月第l卷 期 · 5l · · 论著 · 颈动脉超声检测对冠心病及其危险因素的临床意义 张玉胜 ，董秀凤 ，刘福艳 ，张秀洲 ，王鑫 ，李文华 (1．山东滨州市人民医院保健科，256610；2．山东省立医院老年病科) [摘要] 目的 探讨颈动脉超声检查结果与冠心病及其危险因素的临床关系。方法 研究对象经选 择性冠状动脉造影(CAG)分为单支病变组、双支病变组和三支病变组，观察冠心病危险因素与冠状动脉病变 支数、颈动脉超声的关系以及CAG结果与颈动脉超声的关系。结果 三支病变组收缩压、脉压、总胆固醇、血 糖高于双支和单支病变组(P0．05)；高危险因素组颈动脉内一中膜厚度 (IMT)、阻力指数 (RI)明显大于低危 险因素组(P0．05)；三支病变组IMT与斑块指数(PI)高于双支和单支病变组(P0．05)。结论 颈动脉超 声检查可预测冠状动脉病变的严重程度和筛查冠心病的高危患者。 [关键词] 冠状动脉疾病；超声检查；颈动脉；危险因素 [中图分类号]R541．4 [文献标识码]A [文章编号]1672-6790(2007)O1-0051-03 Relationshipbetweencarotidarteriesultrasoundandcoronaryarteriesdiseasewith itsriskfactors ZHANG Yusheng ‘ ，DONGXiufeng，L， Fuyan，ZHANGXiuzhou，WANGXin，12Wenhua (1．DepartmentofHeathcare， BinzhouPeople’Hospital，Shandong256610，China，2．ShandongProvincialHospita1) [Abstract] Objective Toobservetherelationshipbetweencarotidarteriesultrasoundandcoronaryarteries diseaseanditsriskfactors．Methods 92patientwiht coronaryheartdiseasediagnosedbycoronaryarteriography (CAG)weredividedintothreegroups，single-vesseldisease，double-vesseldiseasenadhtree-vesseldiseasegroups． Result Thesystolicpressure，pulsepressure，totalcholesterolnadblood sugarinhtree-vesseldiesasegroupswere higherthanthoseinsingle-vesseldiseasenaddouble-vesseldiseasegroups(P0．05)．Thecarotidarteriesintima- mediathickness(IMT)andresistentindex(RI)inhighriskfactors groupswere higherthna htatinlowriskfactors groups(PO．05)．TheIMTnadplaqueindex(PI)inhtree-vesseldiseasegroupswerehihgerthna htoseinsingle- vesseldiseasenaddouble-vesseldiseasegroups(P0．05)．Conclusion Carotidarteriesultrasoundgraphyisaim- portnatmethodforthediagnosisofcoronaryarterydiseaseandscreeningthepatientswiht multi-riskfactors． [Keywords] Coronarydisease；Uhrasonography；Coro