颈动脉粥样硬化斑块对冠心病的诊断预测价值

目的 探讨颈动脉粥样硬化斑块在冠心病诊断中的价值。方法 选取2014年3-10月该院收治的143例疑诊为冠心病行冠状动脉造影（冠脉造影）患者作为研究对象,依据造影结果分为非冠心病组（82例）和冠心病组（61例）。所有患者均行颈动脉彩色多普勒超声（彩超）检查,并对粥样斑块病变程度、冠状动脉狭窄程度进行评分。结果 两组患者在心血管常见危险因子吸烟、饮酒、高血压、高血糖、高血脂等方面比较,差异均有统计学意义（P〈0.05）;在颈动脉斑块积分和冠脉造影评分方面比较,非冠心病组明显低于冠心病组,差异均有统计学意义（t=4.61、3.79,P〈0.01）。不同冠状动脉病变组颈动脉斑块积分和冠脉造影评分比较...

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Bibliographic Details
Published in现代医药卫生 Vol. 31; no. 18; pp. 2744 - 2745
Main Author 黄萍 刘星
Format Journal Article
LanguageChinese
Published 广汉市人民医院心内科,四川,618300%广汉市人民医院特检科,四川,618300 2015
Subjects
冠心病
动脉粥样硬化
脂类/血液
超声检查,多普勒,彩色
预测
颈动脉
脂类/血液
预测
超声检查,多普勒,彩色
Atherosclerosis
Ultrasonography,doppler,color
动脉粥样硬化
Lipids/blood
冠心病
Coronary disease
Forecasting
颈动脉
Carotid arteries
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ISSN1009-5519
DOI10.3969/j.issn.1009-5519.2015.18.007

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Summary:目的 探讨颈动脉粥样硬化斑块在冠心病诊断中的价值。方法 选取2014年3-10月该院收治的143例疑诊为冠心病行冠状动脉造影（冠脉造影）患者作为研究对象,依据造影结果分为非冠心病组（82例）和冠心病组（61例）。所有患者均行颈动脉彩色多普勒超声（彩超）检查,并对粥样斑块病变程度、冠状动脉狭窄程度进行评分。结果 两组患者在心血管常见危险因子吸烟、饮酒、高血压、高血糖、高血脂等方面比较,差异均有统计学意义（P〈0.05）;在颈动脉斑块积分和冠脉造影评分方面比较,非冠心病组明显低于冠心病组,差异均有统计学意义（t=4.61、3.79,P〈0.01）。不同冠状动脉病变组颈动脉斑块积分和冠脉造影评分比较,多支病变组高于单支病变组、双支病变组,差异均有统计学意义（P〈0.05）。结论 颈动脉粥样硬化斑块可作为诊断冠心病的独立预测因素。
Bibliography:Huang Ping, Liu Xing （1. Department of Cardiolosy ;2. Department of Special Examinations ,Guanghan Municipal People＇s Hospital,Guanghan,Sichuan 618300, China）
Atherosclerosis ; Carotid arteries; Coronary disease ; Uhrasonography,doppler,color ; Lipids/blood ; Forecasting
Objective To investigate the value of carotid arterial atherosclerotic plaques in the diagnosis of coronary artery disease（CHD）. Methods Totally 143 cases of suspected CHD undergoing coronary angiography in our hospital from March to October 2014 were selected as the research subjects and divided into the non-CHD group（n=82） and the CHD group（n=61） according to the angiographic results. All patients were performed the carotid artery color Doppler ultrasound examination. The atherosclerotic plaque lesions degree and coronary stenosis degree were evaluated. Results The differences in the aspects of the common cardiovascular risk factors of smoking,drinking,hypertension,hyperglycemia and hyperlipedemia between the two groups had statistical signif
ISSN:1009-5519
DOI:10.3969/j.issn.1009-5519.2015.18.007