鄭芳 胡寅進 王麗
【摘要】目的 觀察頸動脈內中膜厚度、彈性定量指標,對冠狀動脈粥樣硬化性心臟(冠心?。┎≡\斷的效果。方法 將我院2015年7月~2018年7月區(qū)間擷取的140例疑似冠心病患者,按照病史資料進行分組處理,將所有患者分為冠狀動脈粥樣硬化組(n=32)、非冠心病組(n=38)、單支病變組(n=30)、多支病變組(n=40)。4組患者均接受頸動脈內中膜厚度、彈性定量指標診斷,觀察組間左頸總動脈中膜厚度LIMT、左頸總動脈脈搏波傳導速度LPWV、左頸總動脈硬度指數(shù)Lβ。結果 4組LIMT、LPWV、Lβ相比較,多支病變組的上述指標均明顯高于其他3組,P<0.05。結論 頸動脈內中膜厚度、彈性定量指標檢測,于冠心病多支病變患者中應用診斷效果理想,臨床應用價值突出。
【關鍵詞】頸動脈內中膜厚度;彈性定量指標;冠狀動脈粥樣硬化性心臟病
【中圖分類號】R541.4 【文獻標識碼】A 【文章編號】ISSN.2095.6681.2020.11..02
Carotid intima-media thickness and elastic quantitative index for coronary atherosclerotic heart disease
ZHENG? Fang1, HU? Yin-jin1, WANG? Li2
(Xiamen special service recuperation center of the army,1.Department of Radiology;
2.Rehabilitation,F(xiàn)ujiang Xiamen 361000,China)
【Abstract】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.
【Key words】Carotid intima-media thickness;Quantitative quantitative index;Coronary atherosclerotic heart disease
冠狀動脈粥樣硬化性心臟病,即為冠心病,指的是冠狀動脈粥樣硬化病變所致血管腔狹窄/阻塞,而引發(fā)的心肌缺血、缺氧/壞死的心臟病[1]。不可改變危險因素包括:性別、年齡、家族史等,臨床常見體力活動、情緒激動下發(fā)生心前區(qū)疼痛表現(xiàn),一般為發(fā)作性絞痛/壓榨痛。本研究擷取我院近年來140例疑似冠心病患者,分析實行頸動脈內中膜厚度、彈性定量指標檢測的臨床價值。
1 臨床數(shù)據(jù)信息、方法
1.1 臨床相關數(shù)據(jù)信息
將我院2015年7月~2018年7月區(qū)間擷取的140例疑似冠心病患者,按照其病史資料分為:冠狀動脈粥樣硬化組32例、非冠心病組38例、單支病變組30例、多支病變組40例。冠狀動脈粥樣硬化組男性、女性分別為:17例、15例;年齡在45~78歲的范圍,中位年齡(61.5±6.6)歲。非冠心病組男性為20例,女性為18例;年齡在48~76歲的范圍,中位年齡(62.3±6.8)歲。單支病變組男性為16例,女性為14例;年齡在46~76歲的范圍,中位年齡(61.1±6.4)歲。多支病變組男性為23例,女性為17例;年齡在50~72歲的范圍,中位年齡(61.9±6.7)歲。4組的上述臨床資料方面對比,統(tǒng)計結果無意義,P>0.05。