颈动脉粥样硬化与冠心病的相关性及危险因素分析

Evaluation of correlation between carotid atheromatous plaque and coronary heart disease and the risk factors

目的探讨颈动脉粥样斑块与冠状动脉粥样硬化性心脏病(CHD)的关系。方法对54例行冠脉造影的患者同时行颈动脉超声检测,分析其颈动脉内膜中层厚度(IMT)及斑块指数与CHD的相关性,颈动脉粥样斑块与CHD患病率及冠脉Gensini积分的相关性,并比较他们的危险因素。结果 CHD组颈动脉IMT及斑块指数均较非CHD组显著增高(P<0.01),颈动脉粥样硬化组CHD患病率及冠脉Gensini积分也显著增加(P<0.01),而CHD组与颈动脉粥样硬化组危险因素基本相似。结论颈动脉粥样硬化与CHD有显著相关性,两者有相似的危险因素。

Objective To investigate the relationship between carotid atheromatous plaque and coronary heart disease （CHD）. Methods We survey 54 patients＇ carotid ultrasonograph and coronary arteriongraphy, analyze the correlation of carotid intimamedia thickness （IMT） and exponent of carotid atheromatous plaque and CHD, analyze the correlation of carotid atheromatous plaque and sickness rate of CHD and coronary artery Gensini integrate, compare their risk factors. Results The carotid IMT and exponent of carotid atheromatous in the group of CHD are heightened significantly （P 〈 0.01 ）. The sickness rate of CHD and coronary artery Gensini integrate in the group of carotid scleratheroma are heightened significantly too （ P 〈 0.01 ）. The risk factors of the group CHD and carotid scleratheroma are similar. Conclusion Carotid atheromatous plaque is correlated with CHD significantly. Their risk factors are similar.