摘要
目的:研究探讨踝臂指数与冠心病严重程度的相关性并评价其预测价值。方法:笔者所在医院2009年2月-2012年3月收治的98例冠心病患者为冠心病组,根据冠状动脉造影结果中病变数量分为单支病变组(41例)和多支病变组(57例),根据严重程度分为轻度病变组(72例)和严重病变组(26例),同时选择同期的健康体检者50例作为健康组,对比健康组和冠心病组、单支病变组和多支病变组、轻度病变组和严重病变组的踝臂指数差异。结果:冠心病组患者踝臂指数明显低于健康组,差异有统计学意义(P<0.05),多支病变组患者的踝臂指数明显低于单支病变组,差异有统计学意义(P<0.05),轻度病变组患者的踝臂指数明显高于严重病变组,差异有统计学意义(P<0.05)。结论:踝臂指数与冠心病严重程度有明显的相关性,患者疾病越严重,其踝臂指数越小。
Objective： To study the correlation of the ankle-brachial index and severity of coronary heart disease, and evaluate the predictive value. Methods： 98 patients with coronary artery disease as coronary disease group, which were grouped into single-vessel group（n=41） and multi-vessel group（n=57） according to the lesion number, and into slight lesion group（n=72） and severe lesion group（n=26） according to the severity.50 healthy people were chosen as healthy group in the corresponding period.The differences of ankle-braehial between healthy group and coronary disease group, single-vessel group and multi-vessel group, slight lesion group and severe lesion group were analyzed.Results： The ankle brachial index of coronary disease group was apparently lower than healthy group, the difference had statistical signifieance（P〈O.05）, and multi-vessel group was obviously lower than single-vessel group, the difference had statistical significance as well（P〈0.05）.Slight lesion group＇s ankle braehial index was much higher than severe lesion group, the difference between them was statistically signifieant（P〈0.05）.Conclusion： The ankle-brachial index and the severity of coronary heart disease have a significant correlation, patients with more severe disease have smaller ankle-braehial index.
出处
《中外医学研究》
2013年第9期1-3,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
冠心病
踝臂指数
Coronary heart disease
Ankle-brachial index First-author＇s address： The Second People＇s Hospital of Shaoyang, Shaoyang 422001, China
