摘要
目的通过分析颈动脉粥样硬化与冠心病的关系探讨颈动脉超声对诊断冠心病的临床意义。方法将160例入选对象分为对照组,稳定型心绞痛(SA)组,不稳定型心绞痛(UA)组,急性心肌梗死(AMI)组,每组40例,应用颈动脉超声进行检测。结果冠心病组颈动脉内膜粗糙,多处斑块形成,内中膜厚度增加,内中膜厚度与腔内径比值大于0.1。两组比较差异有统计学意义(P<0.05)。160例中发现颈动脉斑块98例,冠心病组93例,对照组5例。冠心病组动脉斑块的检出率明显高于对照组(P<0.05)。结论颈动脉超声检测对冠心病的预测具有确切的临床意义。
Objective To observe the clinical significance of carotid arteries ultrasonography for diagnosing coronary heart disease through analyzing the relationship between carotid arteries athero- sclerosis and coronary heart disease. Methods A hundred and sixty subjects were divided into control group （ n = 40）, stable angina group （ n = 40 ）, unstable angina group （ n = 40 ） and acute myocardial infarction group （n = 40）. Supersonic carries on the examination using the carotid artery. Results Coronary disease group carotid artery internal membrane was rough, many place calcification spot formation, in film thickness increases, in film thickness and the cavity inside diameter ratio are bigger than 0. 1. comparisons of two groups had the remarkable difference （P 〈 0.05 ）. Among 160 cases to discover the carotid artery mottling 98 cases, the coronary disease group 93 cases, the control group 5 cases. Coronary disease group artery mottling picks out rate was higher than that of the control group obviously （P 〈 0. 05）. Conclusion Detecting carotid atherosclerosis by ultrasonography has definite clinical significance for predicting coronary heart disease.
出处
《医药论坛杂志》
2009年第8期7-8,11,共3页
Journal of Medical Forum
关键词
冠心病
颈动脉超声
临床意义
Coronary heart disease
Carotid artery supersonic
Clinical significance
