摘要
目的:探讨颈动脉与冠状动脉粥样硬化的关系。方法:选择老年患者46例,按冠状动脉造影检查结果分为:对照组12例(冠状动脉造影检查阴性者)、心绞痛组21例和心肌梗死组13例。按病变累及冠状动脉的范围及程度分为:正常组12例(即对照组)、单支病变组11例和多支病变组23例(两支以上病变者)。采用彩色多普勒仪检测其颈动脉管径、管壁、彩色多普勒血流显像、频谱情况作比较。结果:与对照组(正常组)比较,冠心病组颈动脉粥样硬化斑块检出率明显高于对照组,差异有显著性(P<0.05);而心肌梗死组与心绞痛组比较、多支病变组与单支病变组比较,差异虽无显著性,但有上升趋势。与对照组比较,冠心病组颈动脉内膜-中层厚度明显高于对照组,差异有显著性(P<0.05);而多支病变组与单支病变组比较,差异也有显著性(P<0.05)。结论:老年人颈动脉与冠状动脉粥样硬化之间的关系较为密切,故可作为一个良好的体表窗口,来预测冠状动脉粥样硬化的有无和病变程度。
Objective To investigate the relationship between carotid and coronary atherosclerosis disease of elderly patients. Methods Totally 46 elderly patients were divided into control group, angina pectoris group and myocardial infarction group according to arteriongraphy results, or normal group （control group）, coronary artery diseased simplex vessel group and coronary artery diseased multivessel group according to atherosclerotic range and degree. Ultrasonic artery examination was taken on carotid. Results Among the 46 patients, the intima-medial thickness and incidence of atheromatous plaque of carotid in patients with positive coronary angiography were significantly higher than the subjects with negative coronary angiography （P〈0.05）. Among the positive coronary angiography, the intima-medial thickness in those with multivessel coronary disease was significantly thicker than those with simplex vessel coronary disease （P〈0. 05）. Conclusion There is a close relationship between carotid and coronary atherosclerosis. Carotid artery is an ideal superficial window to discover the coronary atherosclerotic lesions. Carotid ultrasound could help to predict the presence of coronary artery stenosis.
出处
《实用诊断与治疗杂志》
2006年第8期561-562,共2页
Journal of Practical Diagnosis and Therapy
