踝臂指数联合脉搏波传导速度对冠心病的预测价值  

The prospective value of ankle-arm index combined pulse wave conduction velocity to coronary disease

作　　者：茶春喜[1] 陈劢[1] 罗仁[1] 姚建平[1] 杜晓强[1] 艾克拜尔[1] 

机构地区：[1]新疆生产建设兵团农一师医院心脏中心,阿克苏市843800

出　　处：《中国心血管病研究》2010年第10期763-765,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨踝臂指数（ABI）及肱-踝脉搏波传导速度（baPWV）对冠心病（CHD）及其病变程度的预测价值。方法对经冠脉造影确诊的432例CHD患者和535例非CHD患者进行baPWV、ABI检测，分析CHD患者的baPWV、ABI变化特征，并与非CHD组对照。结果非CHD组、单支病变组、双支病变组、三支病变组baPWV值逐渐增加，且四组间baPWV比较差异有统计学意义（P〈0．01）。冠脉病变组与非病变组之间ABI差异有统计学意义（P〈0．05），ABI在冠脉病变程度组间逐渐递减，且三支病变组与单支病变组及双支病变组比较差异有统计学意义（尸〈0．05）。结论ABI及baPWV均可反映冠脉病变的程度，且可作为CHD的早期预测指标。Objective To study predicting value of ankle arm index and brachial ankle pulse wave velocity for the severity of coronary artery lesion. Methods 967 patients were analyzed retrospectively in our heart center. The coronary artery lesion was evaluated by the number and severity. Analysis of CHD patients with ABI, baPWV and angiography characteristics, and comparison with non-CHD group. Results BaPWV increased with the number of coronary artery lesion （P〈0.01）, ABI were sign/ficantly different between CHD group and non- CHD groups （P〈0.05）, ABI gradually decreased in coronary artery lesion groups（P〈0.05）. Conclusion ABI and baPWV can reflect the severity of coronary artery lesions, and can be used as an early predicting indicator of CHD.

关 键 词：冠状动脉疾病 冠状动脉造影术 踝臂指数 肱-踝脉搏波传导速度 

分 类 号：R541.4[医药卫生—心血管疾病]