颈动脉壁内-中膜厚度及斑块与冠心病的关系  

The relationship between intima-media thickness and plaque of carotid artery and coronary heart disease

作　　者：段军[1] 杨明[1] 丁五麟[2] 邹凤军[2] 张小杭[2] 

机构地区：[1]首都医科大学附属复兴医院心脏病防治中心心内科,北京100038 [2]首都医科大学附属复兴医院心功能科,北京100038

出　　处：《临床医学》2005年第11期1-6,共6页Clinical Medicine

摘　　要：目的利用无创高分辨率二维超声比较冠心病患者与非冠心病患者颈动脉内膜中层厚度(intima-mediathickness,IMT)及粥样斑块的发生情况,探讨IMT及粥样斑块与冠心病的相关性。方法经冠状动脉造影的137例患者根据血管病变分为4组:冠状动脉造影正常组(n=31)、单支病变组(n=36)、双支病变组(n=33)、3支病变组(n=37),在冠状动脉造影前、后1周内进行颈动脉超声检查,同时测定其生化、血脂水平,测量患者的收缩压、舒张压;计算体重指数,并记录其吸烟史、高血压史、糖尿病史。结果冠状动脉病变组患者的颈动脉壁内-中膜厚度及粥样斑块的发生明显高于冠状动脉造影正常组,且有统计学意义;随着病变的加重,其颈动脉壁内-中膜厚度及粥样斑块的发生明显增加。结论颈动脉壁内-中膜厚度与冠心病有一定的相关性,可利用颈动脉超声检查来预测冠心病的发生。Objective To observe the relationship between intima -media thickness and carotid artery plaque in coronary heart disease. Methods 137 patients who had been examined by coronary angiography were divided into normal group and coronary artery disease groups. Carotid ultrasonography was performed in them. Results There were thicker intima - media and higher incidence rate of plaque in coronary heart disease. Conclusion There was relationship between inti- mamedia thickness and carotid artery plaque in coronary heart disease. Carotid ultrasonography could be used to predict the present coronary heart disease.

关 键 词：颈动脉超声 颈动脉壁内-中膜厚度 颈动脉粥样斑块 冠状动脉造影 冠心病 内-中膜厚度 冠心病患者 粥样斑块 颈动脉壁 经冠状动脉造影 颈动脉超声检查 颈动脉内膜中层厚度 高分辨率二维超声 血管病变 

分 类 号：R541.4[医药卫生—心血管疾病] R743.33[医药卫生—内科学]