壁冠状动脉心肌桥患者发生冠状动脉粥样硬化的危险因素分析  

Risk factors for coronary atherosclerosis in patients with coronary artery myocardial bridgemural

作　　者：金鹏[1] 李琳[1] 胡新荣[1] 蔡继锐[1] 李胜军[1] 杨光[1] 

机构地区：[1]漯河市中心医院心血管内科,河南漯河462000

出　　处：《新乡医学院学报》2017年第8期738-740,共3页Journal of Xinxiang Medical University

摘　　要：目的探讨壁冠状动脉心肌桥(MB)患者发生冠状动脉粥样硬化的危险因素。方法选择2012年1月至2016年12月漯河市中心医院疑诊为冠状动脉粥样硬化性心脏病(CAHD)患者1 135例,根据计算机体层摄影血管造影或者冠状动脉造影检查结果,观察患者MB和冠状动脉粥样硬化情况,记录MB的位置、长度和厚度、冠状动脉粥样硬化位置和壁冠状动脉狭窄程度,并对MB患者发生冠状动脉粥样硬化的危险因素进行分析。结果 1 135例疑诊为CAHD患者中,335例患者发现MB,MB发生率为29.52%(335/1 135)。335例MB患者中,合并冠状动脉粥样硬化206例(61.49%),未合并冠状动脉粥样硬化129例(38.51%)。206例MB合并冠状动脉粥样硬化患者中,MB近端冠状动脉发生粥样硬化者200例(97.09%),MB远端冠状动脉发生粥样硬化者6例(2.91%)。Logistic回归分析结果显示,患者年龄、高血压、糖尿病、总胆固醇和低密度脂蛋白胆固醇水平、收缩期壁冠状动脉狭窄程度是MB患者发生冠状动脉粥样硬化的危险因素(P<0.05)。结论 MB患者冠状动脉粥样硬化发生率较高,冠状动脉粥样硬化的发生与多种因素有关。应针对MB患者发生冠状动脉粥样硬化的危险因素采取积极有效的干预措施,以减少冠状动脉粥样硬化的发生。Objective To investigate the risk factors for coronary atherosclerosis in patients with coronary artery myocardial bridgemural （MB）.Methods A total of 1 135 patients with suspected coronary atherosclerotic heart disease （CAHD） were selected from January 2012 to December 2016 in Luohe Central Hospital.The MB and coronary atherosclerosis were observed by computed tomographic angiography and coronary arteriongraphy.The location,length and thickness of MB,the location of coronary atherosclerosiscoronary atherosclerosis and the degree of mural coronary stenosis were recorded.The risk factors for coronary atherosclerosis in MB patients were analyzed.Results A total of 335 cases of MB were found in the 1 135 cases of suspected CAHD,the incidence of MB was 29.52% （335/1 135）.There were 206 （61.49%） patients with coronary atherosclerosis and 129（38.51%） patients without coronary atherosclerosis in the 335 MB patients.Among the 206 patients with MB complicated with atherosclerosis,there were 200 （97.09%） cases of atherosclerosis in MB proximal coronary artery and 6 （2.91%） cases of atherosclerosis in MB distal coronary artery.Logistic regression analysis showed that the age,hypertension,diabetes,total cholesterol and low-density lipoprotein cholesterol and the degree of systolic coronary stenosis were the risk factors for coronary atherosclerosis in MB patients （P 〈 0.05）.Conclusions The incidence of coronary atherosclerosis is high in patients with MB,and the occurrence of coronary atherosclerosis is related to many factors.The active and effective interventions should be taken to reduce the risk of coronary atherosclerosis in patients with MB.

关 键 词：心肌桥 冠状动脉 动脉粥样硬化 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]