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目的探讨老年冠状动脉狭窄与脑血管狭窄的临床相关性。方法 50例老年心脑血管疾病或可疑心脑血管疾病患者,对其行冠状动脉造影(CAG)和数字减影全脑血管造影(DSA)联合检查,观察CAG和DSA联合造影诊断心脑血管的病变情况。结果冠状动脉狭窄与脑血管狭窄具有一致性,且脑血管狭窄的发生率随冠状动脉狭窄支数的增加而增加;脑血管狭窄部位数与冠状动脉狭窄部位数量呈正相关(r=0.67,P<0.05);冠状动脉单支、双支、三支狭窄的患者,其发生脑血管狭窄部位比较,差异无统计学意义(P>0.05)。结论老年冠状动脉狭窄与脑血管狭窄的发生和程度基本一致,但无预测价值,对冠状动脉狭窄患者实施脑血管检查有利于及时发现是否存在脑血管病变。
Objective To investigate the clinical correlation between coronary stenosis and cerebrovascular stenosis in the elderly. Methods Fifty elderly patients with cardiovascular and cerebrovascular diseases or suspicious cardiovascular and cerebrovascular diseases underwent coronary angiography (CAG) and digital subtraction whole brain angiography (DSA) combined with CAG and DSA in the diagnosis of cardiovascular and cerebrovascular diseases Lesions. Results Coronary artery stenosis was consistent with cerebrovascular stenosis, and the incidence of cerebrovascular stenosis increased with the increase of coronary stenosis. The number of cerebrovascular stenosis was positively correlated with the number of coronary stenosis (r = 0.67, P < 0.05). There was no significant difference in the occurrence of cerebrovascular stenosis in patients with coronary artery single branch, double branch and three stenosis (P> 0.05). Conclusion The occurrence and extent of coronary stenosis and cerebrovascular stenosis in elderly patients are basically the same, but there is no predictive value. The implementation of cerebrovascular examination in patients with coronary artery stenosis is helpful to detect the presence of cerebrovascular disease in time.