颈动脉粥样硬化预测老年冠心病的临床探讨

The clinical study of carotid artery atherosclerosis and coronary disase

目的分析冠心病组和对照组是否患有颈动脉粥样硬化,以及对粥样硬化作对比分析,以期为颈动脉粥样硬化作为老年冠心病的一个预测因子提供临床上的一些资料,也方便今后临床医师在诊治中参考。方法回顾性分析2004年6月到2011年6月在我院进行疑似冠心病患者检查的资料,统计并分析他们与颈动脉粥样硬化的关系。结果冠心病组共96例,其中70例发生颈动脉粥样硬化,颈动脉粥样硬化发生率为72.9%,对照组52例,其中24例发生颈动脉粥样硬化,颈动脉粥样硬化发生率为46.2%,两组比较,差异有统计学意义(P<0.01);冠心病组颈动脉lMT均明显高于非冠心病组(P<0.05)。结论利用颈动脉超声来预测冠心病的检测,既方便又简单,而且费用低、安全性高,最主要可以减轻患者不必要的痛苦及经济负担,同时应用颈动脉超声检测,可以对相关动脉疾病高危人群的患者做一个合理的预防规划。

Objective To analyze the coronary disease group and control group that whether patients with carotid atherosclerosis, and a comparative analysis of the characteristics of atherosclerosis, in order to ca- rotid atherosclerosis can be used as a predictor of elderly coronary heart disease factors, sometime provide some clinical material, also facilitate future clinical physicians in the diagnosis and treatment of reference. Methods Retrospective analysis June 2004 to June 2011 in our hospital for inspection doubt artery disease and analysis they with carotid atherosclerosis relationship. Results The inspection results show that CHD group a total of 96 patients, 70 of which occurred in carotid atherosclerosis, carotid atherosclerosis rate was 72. 9% ; The control group 52 cases, 24 cases occur carotid atherosclerosis, carotid atheroselerosis was 46. 2%, and two groups of comparisons, （P 〈 0.01 ） ; Coronary heart disease group 1MT carotid artery were significantly higher than that of the coronary heart disease group （ P 〈 0. 05 ）. Conclusion The carotid ultrasound to predict coronary heart disease detection, convenient and simple, and low cost, high security, the main can reduce unnecessary pain patients and economic burden, and application of carotid ultrasound detection, to the related artery disease of high-risk patients do a reasonable prevention plan.