摘要
目的分析颈动脉超声结合心脏超声检查对冠心病患者预后的预测价值。方法选取我院2023年1月至2024年12月收治的66例冠心病患者作为观察组,根据是否存在不良心血管事件,将患者分为预后良好组(40例)、预后不良组(26例);另选择同期健康体检者66例作为对照组。所有研究对象均完成颈动脉超声、心脏超声检查,比较观察组与对照组、预后良好组与预后不良组的心脏彩超、颈动脉超声指标,并对影响冠心病患者预后的危险因素进行Logistic回归分析。结果观察组的A峰峰速、左心室射血分数(LVEF)均明显低于对照组,颈动脉-中膜厚度、左心室舒张末期内径(LVEDd)均明显高于对照组(P<0.05)。预后良好组的A峰峰速、LVEF均明显高于预后不良组,颈动脉-中膜厚度、LVEDd均明显低于预后不良组(P<0.05)。单因素分析显示,冠心病患者预后与颈动脉病变和左心室舒张功能障碍相关(P<0.05);Logistic回归分析显示,颈动脉病变、左心室舒张功能障碍是影响冠心病患者预后的独立危险因素(P<0.05)。结论颈动脉超声结合心脏超声检查诊断冠心病有助于检出心功能、颈动脉情况,不同预后患者的超声指标具有明显差异,其中颈动脉病变、左心室舒张功能障碍为影响冠心病患者预后的危险因素,临床可根据患者状况调整治疗方案,促进患者病情转归。
Objective To analyze the predictive value of carotid artery ultrasound combined with cardiac ultrasound examination for prognosis of patients with coronary heart disease.Methods 66 patients with coronary heart disease admitted to our hospital from January 2023 to December 2024 were selected as the observation group.Based on the presence of adverse cardiovascular events,the patients were divided into the good prognosis group(40 cases)and the poor prognosis group(26 cases);Another 66 healthy individuals who underwent physical examinations during the same period were selected as the control group.All study subjects completed carotid artery ultrasound and cardiac ultrasound examinations,and the cardiac ultrasound and carotid artery ultrasound indicators were compared between the observation group and the control group,as well as between the good prognosis group and the poor prognosis group.Logistic regression analysis was conducted on the risk factors affecting the prognosis of patients with coronary heart disease.Results The A-peak velocity and left ventricular ejection fraction(LVEF)of the observation group were significantly lower than those of the control group,while the carotid artery intima-media thickness and left ventricular end diastolic diameter(LVEDd)were significantly higher than those of the control group(P<0.05).The A-peak velocity and LVEF of the good prognosis group were significantly higher than those of the poor prognosis group,while the carotid artery intima-media thickness and LVEDd were significantly lower than those of the poor prognosis group(P<0.05).Univariate analysis showed that the prognosis of patients with coronary heart disease was correlated with carotid artery disease and left ventricular diastolic dysfunction(P<0.05);Logistic regression analysis showed that carotid artery disease and left ventricular diastolic dysfunction were independent risk factors affecting the prognosis of patients with coronary heart disease(P<0.05).Conclusions Carotid artery ultrasound combined with cardiac ultrasound examination can help detect cardiac function and carotid artery condition in the diagnosis of coronary heart disease.Ultrasound indicators vary significantly among patients with different prognoses,among which carotid artery disease and left ventricular diastolic dysfunction are risk factors affecting the prognosis of coronary heart disease patients.Clinically,treatment plans can be adjusted according to the patient's condition to promote disease regression.
作者
张扬
ZHANG Yang(Department of Ultrasound,Xinghua Hospital of Traditional Chinese Medicine,Xinghua 225700,China)
出处
《临床医学工程》
2025年第5期564-567,共4页
Clinical Medicine & Engineering
关键词
颈动脉超声
心脏超声
冠心病
诊断
危险因素
Carotid artery ultrasound
Cardiac ultrasound
Coronary heart disease
Diagnosis
Risk factor
