颈动脉粥样斑块性质与冠心病急性冠状动脉事件的相关性分析  

The relationship between carotid artery atherosclerosis and coronary artery disease

作　　者：马志刚[1] 姚成立[2] 马艳萍 

机构地区：[1]宁夏医学院,宁夏银川750004 [2]宁夏银川市第一人民医院,宁夏银川750001 [3]宁夏平罗县中医医院,宁夏平罗753400

出　　处：《宁夏医学杂志》2008年第4期334-335,共2页Ningxia Medical Journal

摘　　要：目的探讨颈动脉粥样斑块回声性质和急性冠状动脉事件间的关系。方法选择因不明原因胸痛、心绞痛和急性心肌梗死而入院的病人109例,分成正常对照组39例、急性冠状动脉综合征(ACS)组59例、稳定性冠心病组(sCAD)11例,对比分析患者性别、年龄、血压、糖尿病、高血压等一般情况,并检测3组患者颈动脉B超的粥样斑块情况。结果ACS组与sCAD组的一般情况比较无显著性差异(P>0.05);颈动脉斑块比较,ACS组软斑块(占71.2%)明显高于sCAD组(占18.2%),两组有显著性差异(P<0.05)。结论颈动脉粥样斑块的性质可以反映出冠状动脉的斑块性质,可以用来预测急性冠状动脉事件的发生。Objective To investigate the relationship between echo property of carotid atherosclerotic plaque and acute coronary events. Methods 109 patients with various reasons accepted with standard Judkins selected coronary angiography. According to the clinical outcomes, all patients were divided into control group （n = 39 ）, acute coronary syndrome （ACS） group （n=59 ）, and stable coronary artery disease （sCAD） group （n = 11 ）. Results The proportion of carotid echolucent plaques was significantly higher in patients with ACS than with sCAD （71.2% vs. 18.2%, P 〈 0.05）. Conclusion Carotid atherosclerosis correlates with coronary artery atherosclerosis, the characters of the carotid atherosclerotic plaque can precisely respond to the characters of coronary artery atherosclerotic plaque, so it can be used for predicting the happening of acute coronary events.

关 键 词：颈动脉 动脉粥样硬化 超声 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]