高频超声及结合心脏探头测量心外膜脂肪组织(EAT)厚度与冠心病危险因素关系研究  

Study on the Relationship between High-frequency Ultrasound Combined with Cardiac Probe Measurement of the Thickness of Epicardial Adipose Tissue(EAT) and the Risk Factors of Coronary Artery Disease

作　　者：张淼源[1] 钟敏[1] 钟冬梅[1] 李存仁[2] 李斌[2] 

机构地区：[1]广东省梅州市人民医院超声科,514031 [2]广东省梅州市人民医院心内科,514031

出　　处：《现代医用影像学》2015年第1期14-17,共4页Modern Medical Imageology

摘　　要：目的:研究高频超声及结合心脏探头测量心外膜脂肪组织(EAT)厚度与冠心病(CHD)危险因素关系。材料与方法:资料随机选择2012年8月-2014年8月本院心内科98例患者为本研究对象,按照冠脉造影检查结果分为两组,将符合冠心病诊断标准76例患者设为研究组,其余22例患者设为对照组,观察并比较两组患者临床基线资料、生活习惯、用药及实验室指标检测情。结果:两组患者临床基线资料、不良生活习惯及用药情况比较,差异均具统计学意义(P<0.05,P<0.01);两组实验室指标即HDL-C、TG比较,未见显著差别(P>0.05),但CHOL、LDL-C及EAT组间比较,差异显著均具统计学意义(P<0.05)。结论:高频超声测量心外膜脂肪组织厚度与冠心病危险因素关系密切,EAT可作为冠心病早期发现的重要预测指标,具有临床实际应用价值。Purpose： To study the relationship between the thickness of epicardial adipose tissue （EAT） and the risk factors of coronary heart disease （CHD）. Materials and Methods： The data of 98 patients were randomly selected in the Department of Cardiology of our hospital from August 2012 to August 2014 as the research object, which, according to the results of coronary angiography were divided into two groups, with 76 patients whose conditions met with the diagnostic criteria of coronary heart disease as study group, and the other 22 patients as control group. The clinical baseline data, unhealthy life habits, medications and laboratory tests results of the two groups were observed and compared. Results： The clinical baseline data, unhealthy living habits, and medication of patients in the two groups under comparison showed statistically significant differences （ P 〈 0. 05, P 〈 0. 01 ）. However, the laboratory indexes, HDL-C and TG, of the two groups showed no significant difference （ P 〉 0. 05 ）, but CHOL, LDL-C and EAT under comparison registered statistically significant difference （ P 〈 0. 05 ）. Conclusion： The thickness of epicardial adipose tissue is closely related with the risk factors of coronary heart disease, and EAT can serve as an important predictor for early discovery of coronary heart disease, which has the practical value for clinical application.

关 键 词：超声测量 心外膜脂肪组织厚度 冠心病 危险因素 关系 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541.4[医药卫生—诊断学]