颈脑一体化超声联合彩色多普勒超声心动图在诊断冠心病中的价值  

Evaluation of Neck-brain Integrated Ultrasound Combined with Color Doppler Echocardiography in the Diagnosis of Coronary Heart Disease

作　　者：沈健 刘斌[1] 张皓然[1] 李莎 SHEN Jian;LIU Bin;ZHANG Haoran;LI Sha(The Affiliated Hospital of Chengde Medical University,Hebei Chengde 067000,China)

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《河北师范大学学报（自然科学版）》2023年第4期406-410,共5页Journal of Hebei Normal University：Natural Science

基　　金：河北省承德市科学技术研究与发展计划项目(202006A081)。

摘　　要：分析颈脑一体化超声联合彩色多普勒超声心动图在诊断冠心病中的价值.选择本院心内科2019年1月至2021年12月的122例疑似冠心病患者,男73例,女49例,年龄段为34~80岁,平均年龄为59.83±7.62岁.进行颈部血管超声、经颅多普勒超声、彩色多普勒超声心动图检查.根据冠脉造影结果,将患者分为非冠心病(43例)和冠心病(79例)2组;再根据冠状狭窄血管的数量,分为单血管、双血管、多血管病变3组.通过对非冠心病与冠心病2组及冠心病组中不同血管病变数的检查参数(IMT,V_(m),Tei指数)进行差异性统计分析,并基于ROC曲线参数评价联合检查的效果.结果表明,冠心病组检测参数均大于非冠心病组(P<0.05);冠心病组中多血管病变组检测参数均大于单血管、双血管病变组(P<0.05),双血管病变组检测参数数值大于单血管病变组(P<0.05);ROC曲线以下面积IMT,V_(m),Tei指数分别为0.85,0.82和0.79(P<0.05);联合检查诊断冠心病的敏感度为95.18%、特异度为73.14%,明显优于单一检查(P<0.05).颈脑一体化超声与彩色多普勒超声心动图联合应用对冠心病有诊断价值.To analyze the value of integratedcervical brain ultrasound combined with color Doppler echocardiography in the diagnosis of coronary heart disease.We selected 122 suspected coronary heart disease patients from the department of cardiology of our hospital from January 2019 to December 2021,including 73 males and 49 females,aged 34~80 years,with an average age of 59.83±7.62 years.The neck vascular ultrasound,transcranial doppler ultrasound and color doppler echocardiography were performed.According to the results of coronary angiography,patients were divided into two groups:non coronary heart disease(43 cases)and coronary heart disease(79 cases);According to the number of narrowed coronary arteries,they were divided into three groups:single vessel,dual vessel,and multi vessel lesions.The parameters(IMT,V_(m),Tei)of non coronary heart disease and coronary heart disease groups,as well as coronary heart disease groups with different vessel lesion numbers were statistically analyzed,and evaluate the effect of the combined examination using ROC curve.Result showed that the detection parameters in the coronary heart disease group were higher than those in the non coronary heart disease group(P<0.05);The detection parameters of the multi vessel lesion group in the coronary heart disease group were higher than those of the single vessel and dual vessel lesion groups(P<0.05),while the detection parameters of the dual vessel lesion group were higher than those of the single vessel lesion group(P<0.05);The areas below the ROC curve,IMT,V_(m),Tei,are 0.85,0.82,and 0.79 respectively(P<0.05);The sensitivity and specificity of combined examination for diagnosing coronary heart disease were 95.18%and 73.14%,which were significantly better than single examination(P<0.05).The combined application of neck brain integrated ultrasound and color doppler echocardiography has diagnostic value for coronary heart disease.

关 键 词：颈部血管超声 经颅多普勒超声 彩色多普勒超声心动图 诊断价值 

分 类 号：R541.4[医药卫生—心血管疾病]