74例老年患者的冠状动脉CT造影结果分析  

Analysis of coronary CTangiography results in 74 cases of elderly patients

作　　者：余飞[1] 崔琴[1] 姚金龙[2] 

机构地区：[1]铜陵市人民医院老年医学科,干部科,244000 [2]铜陵市人民医院CT室,244000

出　　处：《安徽医学》2012年第6期728-731,共4页Anhui Medical Journal

基　　金：铜陵市卫生局科研基金[卫科研(2007)10]

摘　　要：目的了解冠状动脉CT成像在老年患者中的应用价值并探讨其结果与血压、血脂、体质量指数(BMI)等指标的关系。方法收集行64排螺旋CTA检查、年龄≥60岁的74例老年患者进行回顾性分析,按冠状动脉狭窄程度分为正常组、轻度组、中度组和重度组。结果男性组冠状动脉病变率(97.67%)显著高于女性组(80.65%)(P<0.05);年龄、BMI、脉压(PP)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、三酰甘油(TG)、空腹血糖(FG)水平在正常组与重度组之间差异有统计学意义(P<0.05)。多元回归分析提示TC、冠状动脉病变支数、FG与冠状动脉狭窄程度明显相关(P<0.05)。结论 64排螺旋CTA检查对评价老年患者冠状动脉病变有一定的临床价值,积极的调脂及控糖治疗有助于防治冠状动脉病变的进展。Objective To obtain the value of coronary CT imaging in elderly patients, and to discuss tire relationship bctween gender, blood pressure, blood lipid levels, body mass index （BMI） and coronary artery stenosis. Methods The coronary CTA results in 74 cascs of elderly patients with age ≥ 60 years were collected. The patients were divided into normal group, mild group, moderate group and screw group according to the level of coronary artery stenosis. Results The incidence rate of coronary artery disease was signifieantly higher in male （ 97.67% ） group than that in female group（ 80.65% ） （P〈0.05）. The Age, BMI, pulse pressure （PP）, total cholesterol （TC）, low-density l ipopro rein cholesterol （LDL-C）, high density lipoprotein cholesterol （HDL-C）, triglycerides （TG） and tastimg blood glucose（FG） levels had significant difference between the normal group and severe group （P〈0.05）. Multiple regression analysis showed that TC, the count of coronary artery lesions, FG were significantly associated with the severity of coronary artery stenosis （P〈0.05）. Conclusion The 64-slice spiral coronary CT angiography examination has good clinical practice value for evaluation of coronary artery stenosis among ehlerly patients. Positive control of lipid and glucose level can prevent the development of coronary artery stenosis.

关 键 词：老年患者 冠状动脉病变 体层摄影术 冠状动脉CT显影 胆固醇 

分 类 号：R541.4[医药卫生—心血管疾病]