冠心病患者颈动脉超声检测的比较分析

Comparison and Analysis of Carotid Artery Ultrasonography in Patients with Coronary Heart Disease

目的通过对冠心病患者进行颈动脉超声检查,探索冠心病与颈动脉IMT、斑块之间的关系。方法选取2006年1月-2010年12月来我院就诊的147例冠心病患者作为病例组,同时选取同期来院就诊的119例非冠心病患者为对照组,并用高频探头测量两组人群的LCCA-IMT、RCCA-IMT,观察是否有斑块形成。结果病例组和对照组之间年龄、性别、吸烟史差异均无统计学意义(P>0.05)。病例组LCCA-IMT和RCCA-IMT增厚、斑块形成发生率均高于对照组,差异都有统计学意义(P<0.00001)。结论颈动脉超声检查可为冠心病的早期诊断提供依据。

Objective Through carotid artery ultrasound examination of patients with coronary heart disease （CHD）, to explore the relationship between CHD and CCA-IMT, artery mottling.Methods 147 patients with CHD and 119 non-CHD patients were enrolled from January 2006 to December 2007. LCCA-IMT and RCCA-IMT were measured by high frequency probe, and observed artery mottling formation or not.Results The difference of age, gender, smoking history between CHD patients group and non-CHD patients group had no statistical significance （P〉0.05）. The incidence of LCCA-IMT and RCCA-IMT incrassation and artery mottling formation in CHD patients group was higher than the non-CHD patients group, and the difference had statistical significance between the two group（P〈0.0001）.Conclusion Carotid artery ultrasonography can provide basis for early diagnosis of CHD.