稳定型心绞痛患者冠状动脉造影、冠状动脉内超声以及颈动脉超声检查结果分析  

Analysis on results of coronary angiography,intracoronary ultrasound and carotid ultrasound in pa⁃tients with stable angina

作　　者：赵鹏[1] 张庆丽 单书会 韩少雄 刘杰军[1] 郑洪娥[1] ZHAO Peng;ZHANG Qing-li;SHAN Shu-hui;HAN Shao-xiong;LIU Jie-jun;ZHENG Hong-e(The Second Department of Internal Medicine,People′s Hospital of Dezhou City,Dezhou,Shandong 253001,China;People′s Hospital of Jiaxiang County,Jining,Shandong 272400,China;Hospital of China Water Resources and Hydropower Bureau 13,Dezhou,Shandong 253001,China)

机构地区：[1]德州市人民医院内二科,山东德州253001 [2]嘉祥县人民医院,山东济宁272400 [3]中国水电十三局医院,山东德州253001

出　　处：《岭南心血管病杂志》2021年第2期138-141,共4页South China Journal of Cardiovascular Diseases

摘　　要：目的分析稳定型心绞痛患者冠状动脉造影、冠状动脉内超声以及颈动脉超声检查结果。方法回顾性分析自2015年1月至2017年1月期间德州市人民医院收治的174例稳定型心绞痛患者的临床资料。根据所纳入患者冠状动脉内超声检查结果,将81例薄帽纤维粥样斑块的患者设为A组,将65例厚帽纤维粥样斑块的患者设为B组,将28例病理性内膜增厚的患者设为C组。比较3组患者的一般临床资料以及冠状动脉造影、冠状动脉内超声检查以及颈动脉超声检查的结果。结果A组患者糖尿病的患病率为35.80%,高脂血症的患病率为34.57%,脑血管事件的发生率为17.28%,均显著高于B组和C组,差异有统计学意义(均P<0.05);A组患者置入支架的比例为29.63%,坏死核心面积为28.57%±10.74%,高密度钙化面积为11.26%±8.31%,双侧颈动脉斑块的比例为40.74%,均显著高于B组和C组,差异有统计学意义(均P<0.05);而纤维组织面积为50.03%±12.59%,纤维脂肪组织面积为10.19%±10.73%,均显著低于B组和C组,差异有统计学意义(均P<0.05)。A组最小管腔面积≤4.0 mm^(2)的比例为19.75%,显著高于B组,差异有统计学意义(P<0.05)。结论稳定型心绞痛患者的冠状动脉斑块以薄帽纤维粥样硬化斑块最为常见;而双侧颈动脉斑块患者多属于薄帽纤维粥样硬化斑块,且发生脑血管事件风险更高。Objectives To investigate the results of coronary angiography,intracoronary ultrasound and carotid ultra⁃sound in patients with stable angina.Methods Clinical data of 174 patients with stable angina pectoris from January 2015 to January 2017 in People′s Hospital of Dezhou City were analyzed retrospectively.According to the results of carotid ultrasound,81 patients with thin cap fibroat heromas were divided into A group,65 patients with thick cap fibrous heromas were divided into B group,28 patients with pacthologic endometrial thickness were divided into C group.The general clinical data and the results of coronary angiography,intravascular ultrasound and carotid ultrasound of the three groups were compared.Results In A group,the prevalence of diabetes was 35.80%,hyperlipidemia prevalence rate was 34.57%,incidence of cerebrovascular events was 17.28%,which was significantly higher than that of B group and C group(P<0.05).Stent necrosis ratio was 29.63%,core area was 28.57%±10.74%,high-density calcified area was 11.26%±8.31%,bilateral carotid plaque ratio was 40.74%in A group,which were significantly higher than those in B group and C group.While fibrous tissue area was 50.03%±12.59%,the fat and fiber tissue area was 10.19%±10.73%in A group,which were significantly lower than those in B group and C group(all P<0.05).Minimum lumen area≤4.0 mm^(2) ratio was 19.75%in A group,which was significantly higher than that in B group(P<0.05).Conclusions Coronary atherosclerotic plaques are the most common plaques of coronary atherosclerotic plaques in patients with stable angina pectoris.Thin cap fibroat heromas are more common in patients with bilateral carotid plaques and who are with higher risk in cerebrovascular events.

关 键 词：稳定性心绞痛 冠状动脉粥样硬化斑块 颈动脉斑块 相关性 

分 类 号：R541.4[医药卫生—心血管疾病]