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代谢综合征与冠心病冠状动脉病变狭窄程度的相关性研究 被引量:2

The Relationship between Metabolic Syndrome and Severity of Coronary Stenosis in Patients with Coronary Heart Disease
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摘要 目的已有研究显示代谢综合征(MS)和冠心病的关系密切,本研究旨在探讨其与冠心病患者冠脉病变狭窄程度的关系。方法选择316例经冠状动脉造影证实的冠心病患者,按照入院时是否诊断为代谢综合征分为代谢综合征组和非代谢综合征组,根据冠状动脉造影结果进行冠状动脉狭窄程度的Genisi记分评估,按冠脉病变支数分为单支病变、双支病变和多支病变,观察MS与冠心病患者冠脉病变狭窄程度的关系。结果 316例患者中MS组198例,非MS组118例;198例MS患者中冠脉单支病变32例,双支病变101例,多支病变65例,118例非MS患者中冠脉单支病变48例,双支病变41例,多支病变29例,两组间差异显著(P<0.01);MS组和非MS组Genisi评分(31.3±11.7 vs 19.2±10.1,P<0.05)。结论 MS与冠脉粥样硬化关系密切,MS患者冠状动脉的狭窄程度和复杂性明显高于非MS患者。 Objective metabolic syndrome has been reported to be closely related to cardiovascular disease,the present study investigated the relationship between metabolic syndrome and severity of coronary stenosis in patients with coronary heart disease.Methods 316 patients with Coronary Heart Disease after coronary angiography(CAG) were enrolled and divided into metabolic syndrome group and non-metabolic syndrome group.The severity of coronary stenosis by CAG was evaluated by means of Genisi coronary score system.Results Of 316 patients,198 cases in MS group and 118 cases in non-MS group.Genisi score were higher in MS group than non-MS group(31.3±11.7 vs 19.2±10.1,P0.05).Conclusion MS is closely related with coronary atherosclerosis,the severity and complexity of coronary artey stenosis in MS group is significantly higher than non-MS group.
作者 刘伟
出处 《实用心脑肺血管病杂志》 2011年第8期1269-1270,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 冠心病 Genisi记分 代谢综合征 Coronary heart diease Genisi score Metabolic syndrome
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参考文献6

  • 1Boulon C, Lafitte M, Richeboeuf V, et al. Prevalence of metabolic syndrome after acute coronary syndrome and its prognostic significance [J]. AmJCardiol, 2006, 98 (11): 1429-1434.
  • 2Gankurtaran M, Halil M, Yavuz BB, et al. Prevalence and correlates of metslbolic syndrome in older adults [J]. Arch Gerontol C.eriatr,2006, 42 (1): 35-45.
  • 3Genisi GG. A more meaningful scoring system for determining the severi- ty of coronary heart disease [J]. Am J Cardiol, 1983, 51:606 -612.
  • 4Simons LA, Simons J, Ffiedlander Y, et al. Does a diagnosis of the metabolic syndrome provide additional predietion of eardiovaseular dis- ease and total mortality in the elderly? The Dubbo study [J]. Med JAust, 2007, 186 (8): 400-403.
  • 5Thomas GN, Schooling CM, McGhee SM, et al. Metabolic syndrome increases all - cause and vaseular mortality: the Hong Kong Cardiova-seular Risk Factor Study [J]. Clinical Endocrinology, 2007, 66(5) : 666 -671.
  • 6Feinberg MS, Schwartz R, Behar S. Impact of metabolic syndrome in patients with acute coronary syndrome [J]. Adv Cardiol, 2008, 45:114-126.

同被引文献17

  • 1朱晓东,杜曼.2型糖尿病和代谢综合征对男性冠心病患者心肌结构和微血管的影响[J].中国老年学杂志,2014,34(3):601-602. 被引量:5
  • 2中华医学会糖尿病学分会代谢综合征研究协作组.中华医学会糖尿病学分会关于代谢综合征的建议[J].中国糖尿病杂志,2004,12(3):156-161. 被引量:3060
  • 3贾伟平.中国人代谢综合征的现状及临床特征[J].中华内分泌代谢杂志,2006,22(3). 被引量:55
  • 4祝之明.代谢综合征:一种肥胖相关的代谢性心血管综合征[J].中华内分泌代谢杂志,2007,23(4):291-293. 被引量:29
  • 5Solymoss BC,Bourassa MG,Campeau L,et al.Effect of increasing metabolic syndrome score on atherosclerotic risk profile and coronary artery disease angiographic severity[J].Am J Cardiol,2004,93(2):159-164.
  • 6Gensini GG.A more meaningful scoring system for determining the severity of coronary heart disease[J].Am J Cardiol,1983,51(3):606.
  • 7Paras E,Mancini GB,Lear SA.The relationship of three common defi-nitions of the metabolic syndrome with sub-clinicalcarotid atheroscler-osis[J].Atherosclerosis,2008,198(1):228-236.
  • 8Zaliūnas R,Slapikas R,Babarskiene R,et al.The prevalence of the metabolic syndrome components and their combinations in men and women with acuteischemicsyndromes[J].Medicina(Kaunas),2008,44(7):521-528.
  • 9Gorter PM,Olijhoek JK,van der Graaf Y,et al.Prevalence of the me-tabolic syndrome in patients with coronary heart disease,cerebrovasc-ular disease,peripheral arterial disease or abdominal aortic aneurysm[J].Atherosclerosis,2004Apr;173(2):363-369.
  • 10Kim JY,Mun HS,Lee BK,et al.Impact of metabolic syndrome and its individual components on the presence and severity of angiog-raphic coronary artery disease[J].Yonsei Med J,2010,51:676-682.

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