摘要
目的 探讨颈动脉内膜中层厚度（IMT）及硬化程度与冠状动脉粥样硬化性心脏病（CAD）有无相关性.方法 经冠状动脉造影诊断为CAD的80例患者,同期行颈动脉多普勒彩色超声检查,了解IMT及硬化程度,再统计分析IMT及硬化程度与冠状动脉的严重程度是否一致,判断相关性.结果 冠心病患者冠脉病变越重,其IMT越大,斑块发生率越高,冠状动脉多支病变者颈动脉内膜中层增厚率、增厚度、斑块厚度及发生率明显高于单支病变者.结论 颈动脉的IMT及硬化程度高频超声检查可间接反映冠状动脉粥样硬化情况,结合临床特点有助于判断冠脉严重程度,为早期诊断CAD提供依据.
Objective To investigate whether there is a correlation of carotid intima-media thickness （IMT ） and degree of sclerosis with coronary atherosclerotic heart disease （CAD ）. Methods Eighty patients with CAD were diagnosed by coronary angiography,at the same time,the ca-rotid artery color Doppler ultrasound examination was performed to understand the degree of IMT and scle-rosis,and then whether the degree of IMT and the degree of sclerosis were consistent with the severity of coronary artery was analyzed to determine the correlation. Results For the patients with coronary heart disease,the more serious the coronary artery lesions was,the IMT was thicker,the occurrence rate of the plaque was higher. Carotid artery intima-media thickness,thickening,plaque thickness and incidence were significantly higher in patients with multivessel coronary artery disease than those with single vessel disease. Conclusions IMT and high-frequency ultrasound in carotid artery can indirectly reflect the situ-ation of coronary atherosclerosis,combined with clinical characteristics,it can help to determine the se-verity of coronary artery disease,and provide indicators for early diagnosis of CAD.
作者
刘淑婧
马良
马春燕
Liu Shufing, Ma Liang, Ma Chunyan(Department of Cardiovascular Medicine, Yellow River Sanmenxia Hospital Affiliated to Henan University of Science and Technology, Sanmenxia 472000, Chin)
出处
《中国实用医刊》
2018年第2期59-61,共3页
Chinese Journal of Practical Medicine
关键词
颈动脉内膜中层厚度
硬化程度
冠心病
相关性
Intima-media thickness
Harden degree
Coronary heart disease
Correlation
