摘要
目的:探讨64排多层螺旋CT(MSCT)冠状动脉成像和心肌肌钙蛋白(cTnI)在急性冠脉综合征的联合应用价值及相互关系。方法:稳定型心绞痛(SA)组为对照组,急性冠脉综合征(ACS)组分为不稳定型心绞痛(UA)组及急性心肌梗死(AMI)组,3组受试患者进行cTnI和64排MSCT冠状动脉成像检查,比较2组cTnI和64排MSCT冠状动脉成像结果。结果:ACS组cTnI均明显高于SA组,2组间cTnI水平差异有统计学意义(P<0.01)。2组冠脉狭窄程度比较差异有统计学意义,即ACS组以轻、中度狭窄为主,SA组以重度狭窄为主。结论:64排MSCT冠状动脉成像联合cTnI检测,对判断冠状动脉狭窄程度、斑块稳定性及心肌受损程度具有较高的敏感性和准确性,对ACS的诊断治疗及预后评价有重要应用价值。
Objective： To explore the value and relationship of combination with 64 rows CT coronary angiography and determination of serum cTnI in ACS. Method：Patients with stable angina were control group （SA）, patients with acute coronary syndrome （ACSY were divided into unstable angina group （UA） and acute myocardial infarction group （AMI）. All the patients received both serum cTnI test and 64 rows CT coronary angiography. The results were compared and analyzed. Result.. The serum cTnI results in ACS group are obviously higher than that of SA group, which shows a significant difference in cTnI test between ACS group and SA group（ P 〈0.01）. The coronary artery presents slight-moderate straitens in ACS group, while heavy straitens in SA group. Conclusion..It has a high sensitivity and veracity in both judging coronary artery straitens rate,stability of plaque, injury of myocardial muscles and making the prognosis of ACS though the combination use on 64 rows CT coronary angiography and determination of serum c-TnI test.
出处
《临床急诊杂志》
CAS
2009年第4期199-201,共3页
Journal of Clinical Emergency
