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目的探讨影响或预测冠状动脉狭窄严重程度的相关因素。方法收集海南省人民医院2008年1月至2010年4月行冠状动脉造影检查的患者95例。对冠心病患者可能的危险因素或预测指标如年龄、性别、高血压、糖尿病、吸烟、血脂水平、左房左室大小、高敏C反应蛋白等与冠脉病变程度进行相关性分析。冠脉病变程度由病变血管支数及Gensini积分表示。结果冠脉病变支数越多,Gensini积分越高。冠心病患者冠脉狭窄严重程度与2型糖尿病及高敏C反应蛋白水平呈正相关,相反,心肌桥患者冠脉病变程度较轻。结论2型糖尿病及高水平的高敏C反应蛋白对冠心病患者冠脉病变程度有独立的预测价值,心肌桥与冠脉病变负性相关。
Objective To explore the factors influencing or predicting the severity of coronary artery stenosis. Methods 95 cases of coronary angiography patients from January 2008 to April 2010 in Hainan Provincial People’s Hospital were collected. The possible risk factors of coronary heart disease or predictors such as age, gender, hypertension, diabetes, smoking, blood lipid levels, left atrium left ventricular size, high sensitivity C-reactive protein and coronary artery disease were analyzed. The degree of coronary artery lesion was indicated by the lesion vessel count and Gensini score. Results The more coronary lesions, the higher the Gensini score. Coronary heart disease severity of coronary artery stenosis and type 2 diabetes and high-sensitivity C-reactive protein level was positively correlated, on the contrary, patients with myocardial bridge lesion severity. Conclusion Type 2 diabetes mellitus and high-grade high-sensitivity C-reactive protein have independent predictive value on the degree of coronary artery disease in patients with coronary heart disease. Myocardial bridge is negatively correlated with coronary artery disease.