不同冠状动脉病变支数的临床特点与影像学观察  

Clinical Feature in Differential Coronary Artery Disease Counts

作　　者：李云萍[1] 王归真[1] 娄莉[1] 王东琦[2] 崔长琼[2] 

机构地区：[1]西安市第四医院心内科,710004 [2]西安交通大学第一医院心内科

出　　处：《现代医用影像学》2005年第5期193-196,共4页Modern Medical Imageology

摘　　要：目的:探讨不同冠状动脉病变(CAD)支数临床特点,为冠心病的防治提供依据。材料与方法:对335例经冠状动脉造影确诊的冠心病患者,按CAD支数分为4组,分析各组的临床特点。结果:1支病变101例,2支病变88例,3支病变119例,4支病变27例。随着侵犯CAD支数的增加,患者的年龄、高血压分级、心功能减退、冠脉狭窄程度计分均逐渐增加;患高血压病和有饮酒史者的比例亦逐渐增加;脂紊乱、空腹血糖升高与吸烟者的比例有所增加。结论:CAD的严重程度受年龄、高血压、吸烟及饮酒的影响;同时CAD严重者心功能差。Purpose： To investigate the clinical feature in differential coronary artery disease （CAD） counts, and to provide evidence for preventive and treatment of CAD. Materials and Methods： 335 patients with CAD diagnosed by coronary artery angiography were divided into 4 groups, and their clinic feature was analyzed. Results： One - vessel was 101 cases, two - vessel 88 cases, three - vessel 119 eases, and four- vessel 27 cases. As long as CAD count increased, there were three changes. ①Age, hypertension grade, heart function decrease, and coronary artery score were gradually increased all. ②The ratio of hypertension and drinking were gradually increased also. ③The ratio of blood lipid disorder, fasting glucose rise and smoking were also increased. Conclusion： Age, hypertension, smoking and drinking influence severity of CAD. The hearer of CAD, the worse of heart function.

关 键 词：冠状动脉病变 冠心病 冠状动脉造影 危险因素 冠状动脉病变支数 临床特点 影像学观察 冠心病患者 经冠状动脉造影 高血压分级 

分 类 号：R541.4[医药卫生—心血管疾病] R714.440.5[医药卫生—内科学]