心前区疼痛与冠脉病变关系的临床研究  

Study on the Relation between Precordialgia and Coronary Artery disease

作　　者：吴秀兰[1] 马建国[1] 刘陆英[1] 李新华[1] 

机构地区：[1]山东省临沂市人民医院心内科,276003

出　　处：《齐齐哈尔医学院学报》2001年第2期129-130,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨冠心病心绞痛患者心前区疼痛程度与冠脉病变的关系。方法按１９７２年加拿大心血管病学会提出的功能分类，分别选择１、２、３、４级的患者各１５例，总计６０例。对这６０例患者行冠脉造影，找出心前区疼痛程度与冠脉病变的关系。结果１级患者中１４例为单支病变，仅１例为双支病变，且狭窄程度轻；２级患者中１０例为单支病变，双支及三支病变的分别为３例及２例；３级患者中单支、双支及三支病变的分别为１例、１３例及１例；４级患者单支、双支及三支病变的分别为２例、６例和７例。结论心前区疼痛程度与冠脉病变关系密切。疾病程度越重，冠脉狭窄也越严重，多支病变的发生率越高。Objective To study the correlation between the degree of precordial pain and the degree of coronary artery disease in patients with angina pectoris. Methods Accoding to the classification of Canadian Cardiovascular disease association in 1972, 60 patients were divided into four groups. Their cardiac functions were grade one, grade two, grade three, grade four respectively. Selected coronary angiography was done on every case. Then we analysed the correlation between Precordialgia and Coronary Artery discase. Results In grade one patients, mono - vessel was stenosis in 14 patients, bi-vessel only in 1 patient. In grade two. mono - vessel mono - vessel was stenosis in 10 patients, bi - vessel in 3 patients, and tri - vessel in 2 patients. In third grade group, bi-vessel was stenosis in 13 patients, tri - vessel in 1 patient. and mono-vessel in 1 patient. In fourth grade group, mono - vessel was stenosis in 2 patients, bi-vessel in 6 patients and tri - vessel in 7 patients. Conclusions The more serious the coronary artery stenosis is, The more serious the precordial pain is.

关 键 词：心前区疼痛 冠脉狭窄 单支病变 多支病变 

分 类 号：R541.402[医药卫生—心血管疾病]