青年人心周脂肪体积和体重指数与重度冠状动脉狭窄的关系

发布时间：2018-04-12 19:57

本文选题：冠状动脉疾病 + 体重指数　；参考：《中国循环杂志》2017年01期

【摘要】：目的:采用256层螺旋计算机断层摄影术(CT)定量测量心周脂肪体积,评价心周脂肪体积及体重指数与青年人重度冠状动脉狭窄的关系。方法:选取我院行CT冠状动脉造影(CTA)检查的45岁以下冠状动脉主支存在重度狭窄患者75例为病变组,75例冠状动脉正常者为对照组。分别记录两组患者的身高、体重,计算出体重指数,并将影像数据传至工作站,通过后处理软件测量心外膜脂肪体积、心包膜外脂肪体积及心周脂肪体积,并对心外膜脂肪体积、心包膜外脂肪体积及心周脂肪体积,三者间分别进行相关性分析。结果:病变组的体重指数(28.169±2.203)kg/m~2和心周脂肪体积(178.676±55.313)ml明显高于对照组[(24.960±3.041)kg/m2、(99.061±32.316)ml],差异均有统计学意义(P0.05)。将病变组及对照组患者分别按照性别进一步分组后无论男性还是女性病变组的心周脂肪体积明显大于对照组(P0.01)。心外膜脂肪体积与心包膜外脂肪体积、心外膜脂肪体积与心周脂肪体积、心包膜外脂肪体积与心周脂肪体积间均存在明显相关性(分别为r=0.837,P0.001;r=0.971,P0.001;r=0.944,P0.001)。结论:青年人心周脂肪体积及体重指数与重度冠状动脉狭窄显著相关。
[Abstract]:Objective: to evaluate the relationship between peri-cardiac fat volume and body mass index (BMI) in young patients with severe coronary artery stenosis.Methods: 75 patients under 45 years old with severe coronary artery stenosis were selected as control group.The height and weight of the two groups were recorded, the body mass index was calculated, and the image data were transferred to the workstation. The epicardial fat volume, pericardial fat volume and pericardial fat volume were measured by post-processing software.The correlation among epicardial fat volume, pericardial fat volume and pericardial fat volume was analyzed.Results: the BMI (28.169 卤2.203)kg/m~2) and pericardiac fat volume (178.676 卤55.313)ml) in the lesion group were significantly higher than those in the control group [24.960 卤3.041kg 路m ~ (2) 路kg ~ (-2) 路min ~ (-2) 32.316)ml] (P < 0.05).The peri-cardiac fat volume in the male and female groups was significantly larger than that in the control group (P 0.01) after the patients were further divided into two groups according to their sex.There were significant correlations between epicardial fat volume and pericardial fat volume, epicardial fat volume and pericardial fat volume, pericardial fat volume and pericardial fat volume (r = 0.837, P 0.001, P 0.001, P 0.001, P 0.001, P 0.001), and pericardial fat volume, pericardial fat volume and pericardial fat volume, respectively.Conclusion: pericardial fat volume and body mass index are significantly associated with severe coronary artery stenosis in young people.
【作者单位】：河北医科大学第二医院影像科;广东省广州市花都武警医院放射科;
【分类号】：R541.4;R816.2

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