颈动脉超声参数在诊断冠状动脉粥样硬化性心脏病方面的效果及其对病变程度的评估价值  

Effect of Carotid Ultrasound Parameters in Diagnosis of Coronary Atherosclerotic Disease and Evaluation of Lesion Degree

作　　者：黄锦洪 HUANG Jinhong(Ultrasound Department,Zhongshan City Henglan Hospital,Zhongshan,Guangdong 528478)

机构地区：[1]中山市横栏医院超声科,广东中山528478

出　　处：《智慧健康》2024年第36期1-3,10,共4页Smart Healthcare

摘　　要：目的分析颈动脉超声参数在诊断冠状动脉粥样硬化性心脏病(CHD)方面的效果及其对病变程度的评估价值。方法选择2022年6月—2024年6月本院收治的80例冠心病患者作为研究的对象,对患者进行颈动脉超声以及心电图检查,以冠脉造影诊断作为标准,分析CHD与非CHD患者颈动脉内膜-中层厚度(IMT)和颈动脉硬化斑块(AP)与冠状动脉狭窄程度的关系。结果CHD患者的IMT和AP指标水平均值均比非CHD患者高;CHD患者多发斑块、不均质斑块、IMT增厚和颈动脉狭窄程度等均比非CHD患者高;CHD患者Gensini评分和Crouse积分均明显高于非CHD患者,且对比区别显著(P<0.05),这些因素和冠状动脉并发颅内动脉狭窄性病变等存在相关性。结论对冠状动脉粥样硬化性疾病采用颈动脉彩超配合心电图诊断具有良好的效能,冠脉狭窄程度和颈动脉彩超参数具有一定相关性。Objective To analyze the effect of carotid ultrasound parameters in diagnosis of coronary atherosclerotic disease and evaluation of lesion degree.Methods The paper chose 80 patients with coronary heart disease from June 2022 to June 2024 as study subjects,treated with carotid ultrasound and electrocardiogram.Relationship between carotid intima-media thickness(IMT),carotid atherosclerotic plaque(AP)and coronary stenosis scores of patients with coronary atherosclerotic heart disease(CHD)and non CHD was analyzed with standard of coronary angiography diagnosis.Results Mean levels of IMT and AP indicators of CHD patients were higher than non CHD patients.CHD patients had higher levels of multiple plaques,heterogeneous plaques,IMT thickening,and carotid artery stenosis than non CHD patients.The Gensini scores and Crouse scores of CHD patients were significantly higher than non CHD patients,difference was significant(P<0.05).Thee factors were correlated with coronary artery complications including intracranial artery stenosis.Conclusion Carotid ultrasound combined with ECG can achieve good effect in diagnosis of coronary atherosclerotic diseases,and degree of coronary stenosis has some certain correlation with carotid ultrasound parameters.

关 键 词：颈动脉超声参数 冠脉粥样硬化性疾病 病变程度评估 

分 类 号：R54[医药卫生—心血管疾病]