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目的:研究颈动脉斑块积分对冠状动脉(冠脉)病变的预测价值。方法:选取2016-01至2016-05在我院进行冠脉造影检查,并且最终确诊为冠心病的152例患者。根据病变累及冠脉情况,将所有患者分为单支病变组72例、双支病变组38例和多支病变组42例,收集患者斑块检出率、高密度脂蛋白胆固醇(HDL-C)、体重指数(BMI)等基本情况,并对所有患者进行颈动脉超声检查,按照半定量积分法则和Gensini积分法则分别计算颈动脉斑块情况和冠脉病变程度,将半定量积分和Gensini积分进行比较,寻找两者之间的联系。结果:各组间总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、HDL-C、BMI等基本指标差异无统计学意义(P>0.05)。但双支病变组和多支病变组患者的吸烟人数和斑块检出率要明显高于单支病变组(P<0.05)。同时颈动脉的半定量积分及冠脉Gesini积分均随着病变支数的增加而增加。结论:根据颈动脉斑块半定量积分可以对冠心病严重程度进行预测和分析。
Objective: To study the predictive value of carotid artery plaque score on coronary artery (coronary) disease. Methods: A total of 152 patients with coronary heart disease who underwent coronary angiography in our hospital from January 2016 to May 2016 were selected. All patients were divided into single-vessel disease group (72 cases), double-vessel disease group (38 cases) and multivessel disease group (42 cases) according to the lesion-involved coronary artery disease.The plaque detection rate, high density lipoprotein cholesterol ), And body mass index (BMI). Carotid ultrasonography was performed on all patients. Carotid artery plaque and coronary artery lesions were calculated according to semi-quantitative integral rule and Gensini integral rule respectively. Semi-quantitative and Gensini integral Compare, look for the connection between the two. Results: There were no significant differences in the basic indicators of total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), HDL-C and BMI between the groups (P> 0.05). However, the number of smokers and plaque detection in patients with double-vessel disease and multiple-vessel disease were significantly higher than those with single vessel disease (P <0.05). At the same time, the semi-quantitative integration of carotid artery and coronary Gesini integral increased with the increase of lesion count. Conclusion: According to the semi-quantitative integration of carotid plaques, the severity of coronary heart disease can be predicted and analyzed.