冠心病病人冠状动脉与颈动脉粥样硬化相关分析  

Relationship between carotid and coronary atherosclerosis in patients with coronary heart disease

作　　者：陈晓英[1] 饶丹[1] 

机构地区：[1]武汉亚洲心脏病医院心内科,武汉430022

出　　处：《岭南心血管病杂志》2007年第3期173-174,共2页South China Journal of Cardiovascular Diseases

摘　　要：目的探讨冠心病病人颈动脉与冠状动脉粥样硬化的关系。方法冠心病病人122例,经冠状动脉造影确诊,用颈动脉超声检测颈动脉内膜-中膜厚度(intima-media thickness,IMT)及粥样硬化程度。结果病人病变冠状动脉支数分组间,IMT、颈动脉斑块积分和斑块发生率的差异有统计学意义。冠状动脉病变支数与IMT相关(r=0.73),与颈动脉斑块积分相关(r=0.67)。冠状动脉造影积分与IMT相关(r=0.69),与颈动脉斑块积分相关(r=0.68)。结论冠心病病人颈动脉粥样硬化与冠状动脉粥样硬化呈正相关,颈动脉病变可间接反映冠状动脉粥样硬化病变程度。Objectives To observe the relationship between carotid atherosclerosis （CAs） and coronary artery atheroselerosis （CAAs） in patients of coronary heart disease （CHD）. Methods Coronary angiography measurement was performed in 122 patients with coronary heart disease to judge the degree of coronary artery atheroselerosis. The earotid-intima media thickness （IMT） and carotid plaques were measured by ultrasound. Results There was significant difference between CAAs with CHD in IMT, carotid plaques score and incidence of carotid atheroselerosis plaques （P〈0.005; P〈0.001; P〈0.01, respectively） There was positive correlation between CAAs and IMT, carotid atheroselerosis score （r=0.73, 0.67, P〈0.005）. There was positive correlation between coronary angiography score and IMT, carotid atheroselerosis score （r=0.69, 0.68, P〈0.005）. Conclusions CAs are associated with CAAs in patients with coronary heart disease.

关 键 词：冠状动脉粥样硬化 颈动脉粥样硬化 超声检测 颈动脉内膜-中膜厚度 冠状动脉造影 

分 类 号：R543.3[医药卫生—心血管疾病]