摘要
目的评价肱-踝脉搏波传导速度(ba-PWV)、踝臂指数(ABI)、颈动脉内中膜厚度(IMT)与冠心病冠状动脉狭窄严重程度之间的相关性。方法收集冠心病及可疑冠心病患者167例,结合冠状动脉造影结果,分析ba-PWV、IMT、ABI与冠脉狭窄程度的相关性。结果 ABII、MT、ba-PWV 3个检测指标单一应用时,冠脉单支病变组与非冠心病组相比无显著性差异,双支和多支病变组与非冠心病组相比有显著差异(P<0.01);当ABI、IMT、ba-PWV均异常或任意2个指标为异常与非冠心病组相比,单支病变组亦有显著性差异。结论 ba-PWV、ABI、IMT与冠状动脉病变狭窄程度具有明显相关性。联合应用ba-PWV、ABI和IMT,可用于评价冠状动脉粥样硬化性心脏病的严重程度。
Objective To assess the relationship of pulse - wave velocity（ba - PWV）, ankle - brachial index （ABI）, intima - media （IMT） and the stenosis degree of coronary arteries. Meth- ods 167 patients who were diagnosed or suspected as coronary heart disease were collected. Com- pared with the result of coronary angiography, the correlation between stenosis degree of the coro- nary arteries and ba- PWV, ABI, IMT were analyzed. Results When three indicators of the ABI, IMT, ha- PWV were applied singly, the coronary artery single - vessel disease group and non - CHD group showed no significant difference. Compared with non - CAD group, two- branch and multi - vessel disease group were significantly different （ P 〈 0.01 ）. However, the single - vessel disease group still had statistical difference compared with the non - coronary heart disease group when all the three aforementioned indicators or any two indicators were abnormal. Conclusion The atherosclerosis indicators （ba - PWV, ABI and IMT ） have positive correlation to stenosis degree of the coronary arteries. Combined detection of ba - PWV, ABI and IMT can be used to evaluate coro- nary artery diseaseseverity.
出处
《实用临床医药杂志》
CAS
2011年第23期18-20,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11120028)
关键词
肱踝脉搏波速度
踝臂指数
颈动脉内中膜厚度
冠心病
brachial - ankle pulse wave velocity
ankle - brachial index
carotid arterythickness
coronary heart disease
