踝臂指数与冠状动脉病变程度的研究  

Relationship Between Ankle-brachial Index and Severity of Coronary Artery Disease

作　　者：王瑾[1] 李月华[2] 陈玉华[1] 张峻峰[1] 沈卫峰[3] 

机构地区：[1]上海交通大学医学院附属第三人民医院,上海201900 [2]上海交通大学医学院附属新华医院,上海200092 [3]上海交通大学医学院附属瑞金医院,上海200025

出　　处：《医学临床研究》2007年第5期710-712,共3页Journal of Clinical Research

摘　　要：【目的】探讨踝臂指数(ABI)与冠状动脉病变之间的关系。【方法】根据冠状动脉造影结果对151例患者进行分组,将各组患者的ABI进行对比研究,并将病变冠状动脉积分、冠状动脉病变积分与患者的ABI进行线性相关分析。【结果】正常组ABI与冠心病组、多支病变组、三支病变组、严重病变组比较均有显著差异(均P<0.05)。患者病变冠状动脉积分、冠状动脉病变积分均与ABI呈显著负相关(r值为-0.92,-0.91,均P<0.05)。【结论】踝臂指数有助于预测冠状动脉病变程度。[Objective]To study the relationship between ankle-brachial index （ABI） and severity of coro- nary artery disease. [Methods]One hundred and fifty one cases were divided into five subgroups according to the results of electronic coronary angiography. The ABI of patients among groups was compared. [Results] There were significant differences among normal subgroup and multiple atherosclerosis subgroup,3-vessel disease subgroup, severe coronary artery disease subgroup（ P〈0.05, respectively）. The coronary lesion score and diseased vessel score showed significantly negative correlation to ABI. [Conclusion]ABI is not only an important and independent predictive index of coronary artery disease, but also one of the predictive indexes as the extent of coronary atherosclerosis.

关 键 词：冠状动脉疾病 臂 踝 

分 类 号：R543.3[医药卫生—心血管疾病]