颈动脉粥样硬化与股动脉粥样硬化的比较  

Comparison of carotid atherosclerosis and femoral atherosclerosis

作　　者：高月花[1] 张梅[2] 张运[2] 张园园[2] 

机构地区：[1]中国人民解放军第306医院肾内科,北京100101 [2]山东大学齐鲁医院心内科,山东济南250012

出　　处：《医学影像学杂志》2010年第11期1605-1608,共4页Journal of Medical Imaging

摘　　要：目的:比较颈动脉粥样硬化与股动脉粥样硬化的异同点。方法:将205名受试者分为正常组(n=85)和冠心病组(n=120),进行颈动脉和股动脉超声检查,并对年龄、体重指数、血压、吸烟史、血脂、血糖、颈动脉内膜中层厚度(IMT)、股动脉IMT及冠心病家族史、男性性别进行单因素分析和Logistic分析。结果:①股动脉IMT及血管弹性指标较颈动脉呈增高趋势;②冠心病组颈动脉斑块发生率显著高于股动脉斑块发生率;③多因素分析表明年龄、血糖、家族史、颈动脉IMT是冠心病的危险因素。结论:股动脉与颈动脉在血管IMT、血管僵硬度、动脉斑块发生率存在差异;颈动脉IMT是冠心病的高危因素。Objective：Analysis the difference between carotid atherosclerosis（CAS） and femoral atherosclerosis（FAS）.Methods：The bilateral carotid and femoral arteries in 205 subjects were detected with echocardiography.All the subjects were divided into normal group and coronary-artery-disease group（CAD）.Risk factors of CAS were analysed by age,body mass indexs,blood pressure,blood glucose,total cholesterol（TC）,triglyceride（TG）,sex,smoking history,family history of CAD.Results：IMT,β and Ep were higher in femoral artery than in carotid artery;the CAS prevalence was significantly higher than FAS prevalence in CAD group;multi-factor analysis showed that the risk factors of CAD were age,blood glucose,coronary history and carotid IMT.Conclusion：Between carotid and femoral artery,difference was exist in artery IMT,β,Ep,AS prevalence.Carotid IMT was high risk factor of CAD.

关 键 词：动脉粥样硬化 超声检查 颈动脉 股动脉 

分 类 号：R541[医药卫生—心血管疾病] R445.1[医药卫生—内科学]