老年冠心病血管病变与颈动脉斑块的关系

Relationship ofvasculopathy and carotid plaque in elderly people with coronary artery disease

目的探讨老年冠心痛血管病变与颈动脉斑块的关系：方法将54例老年患者依据双源冠脉CT结果，分为单支血管病变组20例、两支血管病变组14例、三支血管病变组20例，以21例非冠心病患者作为对照组，做颈动脉血管超声检查，比较各组患者的颈动脉宽块严重程度，然后进行统计学比较，结果老年冠心病患者的颈动脉斑块的严重程度高于非冠心病患者，老年冠心痛患者中，随着血管病变的加重，颈动脉斑块的分级逐渐升高，单支血管病变组〈两支血管病变组〈三支血管病变组（P〈0．05）。结论老年冠心痛血管病变与颈动脉斑块的关系密切，颈动脉斑块分级愈高，惠者血管病变愈严重.

Objective To explore the relationship of vasculopathy and carotid plaque in elderly people with coronary artery disease （ CHD ）. Method 54 elderly CHD patients were divided into 3 groups according to the dual source CT coronary angiography result, single vessel disease group （20 cases）, double vessel disease group （ 14 cases）, three vessel disease group （20 cases） . The control group B is the non CHD group （21 cases） . The carotid plaque grade was measured by the carotid arteO, ultrasound and compared at the same time. Results There was significant difference in the carotid plaque grade between CHD and non CHD patients, CHD group 〉 non CHD group （P〈0.05） . In the CHD patients, the more severe vasculopathy, the higher was the carotid plaque grade, single vessel disease group 〈 double vessel disease group〈 three vessel disease group （ P〈0.05 ）. Conclusion In elderly CHD patients, carotid plaque grade correlated with the vasculopathy. The higher the carotid plaque grade was, the more severe was vasculopathy.