颈动脉内中膜厚度及弹性定量指标对冠状动脉粥样硬化性心脏病诊断效果观察  

Carotid intima-media thickness and elastic quantitative index for coronary atherosclerotic heart disease

作　　者：郑芳 胡寅进 王丽 ZHENG Fang;HU Yin-jin;WANG Li(Department of Radiology,Xiamen special service recuperation center of the army,Fujiang Xiamen 361000,China;Rehabilitation,Xiamen special service recuperation center of the army,Fujiang Xiamen 361000,China)

机构地区：[1]陆军厦门特勤疗养中心影像科,福建厦门361000 [2]陆军厦门特勤疗养中心疗养科,福建厦门361000

出　　处：《中西医结合心血管病电子杂志》2020年第11期12-12,24,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察颈动脉内中膜厚度、弹性定量指标,对冠状动脉粥样硬化性心脏(冠心病)病诊断的效果。方法将我院2015年7月~2018年7月区间撷取的140例疑似冠心病患者,按照病史资料进行分组处理,将所有患者分为冠状动脉粥样硬化组(n=32)、非冠心病组(n=38)、单支病变组(n=30)、多支病变组(n=40)。4组患者均接受颈动脉内中膜厚度、弹性定量指标诊断,观察组间左颈总动脉中膜厚度LIMT、左颈总动脉脉搏波传导速度LPWV、左颈总动脉硬度指数Lβ。结果4组LIMT、LPWV、Lβ相比较,多支病变组的上述指标均明显高于其他3组,P<0.05。结论颈动脉内中膜厚度、弹性定量指标检测,于冠心病多支病变患者中应用诊断效果理想,临床应用价值突出。Objective To observe the effect of carotid artery intima-media thickness and elastic quantitative index on the diagnosis of coronary atherosclerotic heart(CHD)disease.Methods 140 patients with suspected coronary heart disease(CHD)collected from July 2015 to July 2018 in our hospital were grouped according to their medical history.All patients were divided into three groups:coronary atherosclerosis group(n=32),non-coronary heart disease group(n=38),single vessel disease group(n=30),multiple vessel disease group(n=40).The carotid intima-media thickness(LIMT),left common carotid artery pulse wave velocity(LPWV)and left common carotid artery stiffness index(Lbet)were measured in all four groups.Results Compared with limt,lpwv and lβin the four groups,the above indexes in the multi vessel lesion group were significantly higher than those in the other three groups(P<0.05).Conclusion The detection of carotid intima-media thickness and elastic quantitative index is ideal for the diagnosis of coronary artery disease with multi-vessel disease.The clinical application value is outstanding.

关 键 词：颈动脉内中膜厚度 弹性定量指标 冠状动脉粥样硬化性心脏病 

分 类 号：R541.4[医药卫生—心血管疾病]