颈动脉超声与冠心病的关系(1)
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【摘要】 目的 探讨颈动脉超声积分与冠心病(CHD)的关系。方法 选择138例疑似冠心病患者，根据冠状动脉造影结果分为冠心病组(103例)和非冠心病组(35例)，冠心病组又分为单支病变组58例、双支病变组25例、多支病变组20例，应用心血管超声系统行颈动脉超声检查并计算积分。结果 冠心病组的颈动脉超声积分高于非冠心病组(P<0.05)；多支和双支病变组的颈动脉超声积分明显高于单支病变组，单支病变组高于非冠心病组。结论 颈动脉超声积分与冠心病及其病变程度相关，有利于准确的评估冠心病及其危险程度，从而更有效地防治冠心病的发生发展。
【关键词】
颈动脉；超声；冠心病；冠状动脉造影
Study on the relationship between carotid artery ultrasonography scores and coronary heart disease (CHD)
WEN Heming, GUO Shisheng, LI Weijie. Department of Aged Diseases, Zhanjiang Centre People’s Hospital, 524000,China
【Abstract】 Objective To Study on the relationship between carotid artery ultrasonography scores and coronary heart disease (CHD).Methods According to the coronary angiography，a total of 138 patients with suspected CHD were divided into CHD group(n=103) and nonCHD group (n=35)，CHD group were divided into three subgroups,stenosis of single branch(n=58)，two branches(n=25) and multibranches(n=20).Carotid artery ultrasonography scores were calculated.Results Carotid artery ultrasonography scores were higher.Compared to each stenosis of branches groups and nonCHD group，arotid artery ultrasonography scores in stenosis of multibranches and two branches groups was significantly higher than stenosis of single branch (P<0.05), the stenosis of single branch group was higher than the nonCHD group(P<0.05). Conclusion The level of carotid artery ultrasonography scores were related with CHD and its degree，which can be used to diagnose CHD and evaluate its seriousness.Then we can carry out scientific and effective measures for prevention and cure.
【Key words】
Carotid artery；Ultrasonography；Coronary heart disease；Coronary angiography
到2020年，非传染性疾病将占我国居民死亡原因的79%，其中心血管疾病居于首位，而冠心病是常见的心血管疾病，且其病变程度越重，5年生存率越低。本文通过对138例行冠状动脉造影患者的颈动脉超声检查，旨在研究颈动脉超声检查在预测冠心病及其病变程度中的价值。
1 资料与方法
1.1 一般资料 2010年3月至2010年9月选择因拟诊为CHD在我院住院并行冠状动脉造影的患者138例，其中男64例，女74例，年龄48~75岁，平均(60±8.07)岁。根据冠状动脉造影结果分为冠心病组103例和非冠心病组35例，冠心
作者单位：524001广东省湛江中心人民医院老年病科
病组又分为冠心病组又分为单支病变组58例、双支病变组、25例、多支病变组20例。冠心病的诊断依据WHO颁布的诊断标准：至少一支冠状动脉狭窄≥50%。狭窄<50%的列入非冠心病组。所有对象危险因素不超过3个，均排除严重心功能不全、肝肾功能不全、免疫系统疾病、血液系统疾病、甲状腺疾病、原发性和继发性痛风、急慢性感染、恶性肿瘤等疾病及已行下肢血运重建术和溶栓治疗者 ......
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