心外膜脂肪组织厚度与冠状动脉狭窄程度的相关性及对不稳定型心绞痛、急性心肌梗死的影响  

The correlation between epicardial adipose thickness and coronary artery narrow degree and effect of epicardial adipose thickness on unstable angina or acute myocardial infarction

作　　者：陈聿峰[1] 楚罗湘[1] 谢剑[1] 谭小强[1] 潘丽[1] 

机构地区：[1]广西医科大学第四附属医院心内科3病区,柳州市545005

出　　处：《中国心血管病研究》2013年第12期932-935,共4页Chinese Journal of Cardiovascular Research

基　　金：广西医疗卫生科研课题

摘　　要：目的 探讨心外膜脂肪组织厚度与冠状动脉狭窄程度的相关性及对不稳定型心绞痛、急性心肌梗死的影响.方法 对298例符合入选标准的对象,心脏彩色多普勒超声心动图测量心外膜脂肪组织厚度,冠脉造影测量冠状动脉狭窄程度,用SPSS 17.0软件进行数据分析心外膜脂肪组织厚度与冠状动脉狭窄程度的相关性.266例按非冠心病（对照组）、不稳定型心绞痛、急性心肌梗死人群分三组,分别为91例、79例、96例,比较三组患者心外膜脂肪组织厚度.结果 心外膜脂肪组脂肪组织厚度与冠状动脉狭窄程度呈正相关（Kendall＆#39;8 r=0.132,P=0.004,Spearman＆#39;s r=0.171,P=0.003）;心外膜脂肪组织厚度三组比较差异有统计学意义（x2=13.03,v=2,P=0.001）.结论 心外膜脂肪组织厚度与冠状动脉狭窄程度呈正相关,在对照组和不稳定型心绞痛、急性心肌梗死人群中有明显差异.Objective To investigate correlation between epicardial adipose thickness（EAT） and coronary artery narrow degree （CAND） and effect of epicardial adipose thickness with unstable angina （UA） or acute myocardial infarction （AMI）. Me^ods EAT was measured by transthoracic echocardiographic examination and coronary artery narrow degree was measured by coronary arteriography in all the 298 enrolled this study. All data were analyzed by software of SPSS 17.0. 266 subjects were divided into three groups： without coronary heart disease （control group,91 cases）, UA （79 eases）and AMI group （96 cases）. The difference in the three group was compared by software of SPSS 17.0. Resets EAT was positively correlated with CAND （Kendall＇s r=0.152, P= 0.004, Spearman＇s r=0.171, P=-0.003）. EAT was significantly different in control group, UA and AMI group （X2= 13.03, v=2, P=0.001）. Conclusion EAT is positively correlated with CAND. EAT is significantly different in control group, UA and AMI group.

关 键 词：心外膜脂肪 冠状动脉狭窄 不稳定型心绞痛 急性心肌梗死 

分 类 号：R542.2[医药卫生—心血管疾病]