踝臂指数与老年女性冠状动脉粥样硬化程度的相关性研究  

The relationship between ankle-brachial index and coronary atherosclerosis in aged female patients

作　　者：刘国樑[1] 秦明照[1] 

机构地区：[1]首都医科大学附属北京同仁医院干部医疗科,100730

出　　处：《中华老年心脑血管病杂志》2010年第5期394-396,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨踝臂指数与老年女性冠状动脉粥样硬化程度的相关性。方法选择232例老年女性,根据冠状动脉造影检查结果分为对照组(38例)、单支病变组(46例)、2支病变组(65例)、3支或左主干病变组(3支病变组,83例),进行踝臂指数的测量、病史采集及血脂检查。结果与对照组和单支病变组比较,2支病变组和3支病变组患者踝臂指数明显降低(P<0.01);单支病变组与对照组踝臂指数比较,差异无统计学意义(P=0.319);踝臂指数与Gensini评分呈显著负相关(r=-0.487,P=0.001)。结论踝臂指数与老年女性冠状动脉粥样硬化病变程度密切相关,有助于评估冠状动脉狭窄程度。Objective To explore the relationship between ankle-brachial index（ABI） and the se- verity of coronary atherosclerosis in aged female patients. Methods 232 aged female patients were assigned to control group （n = 38）,1-vessel disease group （n = 46）,2-vessel disease group （n = 65） or 3-vessel/left main artery disease group （n = 83） according to coronary angiography. ABI and serum lipid were examined in addition to history collection. Results ABI reduced significantly （P 〈 0.01）in 3-vessel/left main artery disease and 2-vessel disease groups as compared with con- trol group and 1-vessel disease group, but there was no significant difference （P = 0. 319） be- tween control group and 1-vessel disease group. ABI was negatively and significantly correlated with Gensini score （r =-0. 487,P = 0. 001）. Conclusion In aged female patients, ABI was closely related with the extent and severity of coronary atherosclerotic lesion and was helpful to evaluating the severity of coronary artery stenosis.

关 键 词：冠状动脉疾病 冠状血管造影术 踝臂指数 预测 

分 类 号：R541.4[医药卫生—心血管疾病]