超声检查颈动脉粥样硬化情况和肱动脉FMD对稳定性心绞痛的价值  

Stable Angina Pectoris :Evaluation of Ultrasonography in Detetion of Carotid Atherosclerosis and Flow-Mediated Dilation of Brachial Artery

作　　者：田敏[1] 韩晓云[1] 王丽丽[1] 王小艳[1] 

机构地区：[1]长治医学院附属和平医院,山西长治046000

出　　处：《现代生物医学进展》2011年第18期3518-3520,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨无创超声检查颈动脉粥样硬化情况和肱动脉FMD对SAP的价值。方法:将选取的65例SAP患者分为轻度狭窄组、中度狭窄组和重度狭窄组,超声检测所有病例的肱动脉FMD和颈总动脉IMT,并作Califf危险评分和As积分,分析观察指标间的关系。结果:Califf危险评分和As积分都随着冠脉狭窄程度的加深而增大,且二者呈正相关(P<0.05);颈总动脉IMT随着狭窄程度的加深而增大,肱动脉FMD则随着狭窄程度的加深而降低,二者呈负相关(P<0.05)。结论:无创监测颈总动脉IMT和肱动脉FMD,可指导SAP临床风险的控制。Objective： To explore the value of brachial artery FMD and common carotid arterial IMT in patients with stable angina evaluated by ultrasonography. Methods： We divided 65 patients with stable angina into mild stenosis, moderate stenosis and severe stenosis group. In all of cases, the IMT of common carotid artery and the FMD in the braehial artery were measured by ultrasouography. And their relationship were analyzed. Results： Califf risk score and As integral were obviously increased, aggravating with coronary artery stenosis, and there were positive correlation （P〈0.05）. Common carotid arterial 1MT was obviously increased and brachial artery FMD was obviously reduced, aggravating with coronary artery stenosis. The two were negative correlation（P〈0.05）. Conclusion： It can control the clinical risk in SAP patients by noninvasive ultrasouography monitoring ofbrachial artery FMD and common carotid arterial IMT.

关 键 词：稳定型心绞痛 颈总动脉IMT 肱动脉FMD 

分 类 号：R543.5[医药卫生—心血管疾病] R445.1[医药卫生—内科学]