颈动脉斑块积分对冠状动脉病变的预测价值

发布时间：2018-05-29 18:50

本文选题：冠状动脉疾病 + 颈动脉斑块积分　；参考：《中国循环杂志》2017年09期

【摘要】：目的:研究颈动脉斑块积分对冠状动脉(冠脉)病变的预测价值。方法:选取2016-01至2016-05在我院进行冠脉造影检查,并且最终确诊为冠心病的152例患者。根据病变累及冠脉情况,将所有患者分为单支病变组72例、双支病变组38例和多支病变组42例,收集患者斑块检出率、高密度脂蛋白胆固醇(HDL-C)、体重指数(BMI)等基本情况,并对所有患者进行颈动脉超声检查,按照半定量积分法则和Gensini积分法则分别计算颈动脉斑块情况和冠脉病变程度,将半定量积分和Gensini积分进行比较,寻找两者之间的联系。结果:各组间总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、HDL-C、BMI等基本指标差异无统计学意义(P0.05)。但双支病变组和多支病变组患者的吸烟人数和斑块检出率要明显高于单支病变组(P0.05)。同时颈动脉的半定量积分及冠脉Gesini积分均随着病变支数的增加而增加。结论:根据颈动脉斑块半定量积分可以对冠心病严重程度进行预测和分析。
[Abstract]:Objective: to study the predictive value of carotid plaque score in coronary artery lesion. Methods: 152 patients with coronary artery disease were examined by coronary angiography from January 2016 to May 2016 in our hospital. According to the condition of coronary artery involvement, all patients were divided into single vessel lesion group (n = 72), double vessel lesion group (n = 38) and multivessel disease group (n = 42). All the patients were examined by carotid ultrasound. According to the semi-quantitative integral rule and Gensini integral method, the carotid plaque and the degree of coronary artery lesion were calculated, and the semi-quantitative integral and Gensini score were compared to find the relationship between them. Results: there was no significant difference in the basic indexes of total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and HDL-Cn (BMI) between the three groups (P 0.05). However, the number of smokers and the detection rate of plaque in double vessel disease group and multi vessel lesion group were significantly higher than that in single vessel lesion group (P 0.05). At the same time, the semi-quantitative score of carotid artery and Gesini score of coronary artery increased with the increase of the number of diseased branches. Conclusion: based on the semi-quantitative score of carotid plaque, the severity of coronary heart disease can be predicted and analyzed.
【作者单位】：新疆医科大学第六附属医院超声科;石河子大学医学院第一附属医院神经内科;
【基金】：新疆医科大学科研创新基金项目(XJC2013218)
【分类号】：R445.1;R541.4

【相似文献】