摘要
目的 观察心脏彩色超声联合颈动脉超声在冠心病诊断中的应用效果。方法 120例疑似冠心病患者为研究对象,经冠状动脉造影确诊75例冠心病患者(冠心病组), 45例非冠心病患者(非冠心病组)。两组患者均接受颈动脉超声检查与心脏彩色超声检查。比较两组斑块积分、颈动脉内中膜厚度(IMT)、心肌做功指数(Tei指数);不同病变支数冠心病患者的斑块积分、IMT、Tei指数。结果 冠心病组的斑块积分、IMT、Tei指数分别为(2.25±0.85)分、(1.30±0.19)mm、(0.55±0.02)均大于非冠心病组的(0.90±0.21)分、(0.68±0.15)mm、(0.42±0.04),差异具有统计学意义(P<0.05)。75例冠心病患者中,经冠状动脉造影确诊单支病变23例,双支病变32例,三支病变20例。单支病变患者的斑块积分、IMT、Tei指数分别为(1.76±0.68)分、(1.10±0.18)mm、(0.48±0.02),双支病变患者的斑块积分、IMT、Tei指数分别为(2.16±0.71)分、(1.29±0.17)mm、(0.54±0.03),三支病变患者的斑块积分、IMT、Tei指数分别为(2.79±0.90)分、(1.42±0.21)mm、(0.60±0.04)。双支病变与三支病变患者的斑块积分、IMT、Tei指数均大于单支病变患者,三支病变患者的斑块积分、IMT、Tei指数均大于双支病变患者,差异具有统计学意义(P<0.05)。结论 冠心病临床诊断过程中,心脏彩色超声联合颈动脉超声能够清晰显示病变程度、斑块所处部位等,从而更好的判断疾病,为其提供数据参考,值得临床采纳与推广。
Objective To observe the effect of color Doppler echocardiography combined with carotid ultrasound in the diagnosis of coronary heart disease.Methods A total of 120 suspected patients with coronary heart disease were studied,75 patients with coronary heart disease(coronary heart disease group)and 45 patients without coronary heart disease(non-coronary heart disease group)were confirmed by coronary artery angiography.Both groups underwent cardiac ultrasound and color Doppler echocardiography.Comparison was made on plaque score,carotid intima-media thickness(IMT)and myocardial performance index(Tei index)between the two groups,and plaque score,IMT and Tei index of patients with coronary heart disease with different number of lesions.Results The plaque score,IMT and Tei index of coronary heart disease group were(2.25±0.85)points,(1.30±0.19)mm and(0.55±0.02),which were higher than those of(0.90±0.21)points,(0.68±0.15)mm and(0.42±0.04)of non-coronary heart disease group,and the differences were statistically significant(P<0.05).Among the 75 patients with coronary heart disease,23 cases of single-vessel lesion,32 cases of double-vessel lesions,and 20 cases of triple-vessel lesions were confirmed by coronary angiography.The plaque score,IMT and Tei index of patients with single-vessel lesion were(1.76±0.68)points,(1.10±0.18)mm and(0.48±0.02),respectively;the plaque score,IMT and Tei index of patients with double-vessel lesions were(2.16±0.71)points,(1.29±0.17)mm and(0.54±0.03),respectively;the plaque score,IMT and Tei index of patients with triplevessel lesions were(2.79±0.90)points,(1.42±0.21)mm and(0.60±0.04),respectively.The plaque scores,IMT and Tei indexes of patients with double and triple-vessel lesions were higher than those of patients with singlevessel lesions;the plaque score,IMT and Tei index of patients with triple-vessel lesions were higher than those of patients with double-vessel lesions;the differences were statistically significant(P<0.05).Conclusion In the clinical diagnosis of coronary heart disease,the combination of color Doppler echocardiography and carotid artery ultrasound can clearly show the extent of lesion,plaque location,so as to better judge the disease and provide data reference,which is worthy of clinical adoption and promotion.
作者
张琳琳
ZHANG Lin-lin(Anshan Changda Hospital,Anshan 114001,China)
出处
《中国现代药物应用》
2023年第8期51-53,共3页
Chinese Journal of Modern Drug Application
关键词
冠心病
颈动脉超声
心脏彩色超声
Coronary heart disease
Carotid ultrasound
Color Doppler echocardiography
