颈动脉内中膜厚度检测在心脑血管疾病中的意义

目的探讨颈动脉内中膜厚度与冠心病及缺血性脑血管病之间的关系。方法将病例分为3组:对照组31例,冠心病组38例,缺血性脑血管病组36例。分别测量并比较三组间颈动脉内中膜厚度的差异。结果对照组、冠心病组、缺血性脑血管病组的颈动脉内中膜厚度分别为:0.70±0.31mm、1.10±0.42mm、1.38±0.51mm。冠心病组与对照组比较P=0.03、缺血性脑血管病组与对照组比较P=0.01、缺血性脑血管病组与冠心病组比较P=0.04,P值均<0.05,有显著性差异。结论颈动脉内中膜厚度与冠心病及缺血性脑血管病均有相关性,但与缺血性脑血管病关系最密切。

Objective To study the relation of carotid intima-medial thickness(IMT)with coronary heart disease and ischemic cerebrovascular disease.Methods Three groups were classified:Control group had 31 patinets,Coronary heart disease group had 38 patients,Ischemic cerebrovascular disease group had 36 patients.To measure their IMTs respectively and match them each other.ResultsThe IMTs of Control group,Coronary heart disease group and Ischemic cerebrovascular disease group were 0.70±0.31mm、1.10±0.42mm、1.38±0.51mm respectively.P is 0.03 for comparing Coronary heart disease group with Control group、0.01 for comparing Ischemic cerebrovascular disease group with Control group、0.04 for comparing Ischemic cerebrovascular disease group with Coronary heart disease group,all of them were less than 0.05,the differences were statistical.Conclusion IMT is relative with coronary heart disease and ischemic cerebrovascular disease,but more relative with ischemic cerebrovascular disease than with coronary heart disase.