CTA评价肾功能不全与冠心病的相关性

The CTA Evaluation of the Correlation of Renal Dysfunction and Coronary Heart Disease(CHD)

目的针对CTA评价肾功能不全与冠心病的相关性进行分析研究。方法随机选择2013年3月-2014年3月期间,我院收治的冠心病并发肾功能不全患者120例,作为本次研究的对象,对其进行CTA图像检查,观察患者的病变等,与肾功能不全的关系。结果本次研究中的120例冠心病并发肾功能不全患者,单血管病变与多血管病变有较大的差异性,P〈0.05,具有统计学意义。冠心病患者的斑块类型为无斑块30.00%（36/120）、钙化斑块25.00%（30/120）、非钙化斑块23.33%（28/120）、混合斑块21.67%（26/120）。其冠心病患者的危险因素有高血压、血脂异常、肾功能不全,且P〈0.05,具有统计学意义,其中肾功能不全为独立危险因素。患者的血管狭窄程度轻度、中度、重度、闭塞无较大差异性,P〉0.05,无统计学意义。结论伴有肾功能不全的冠心病患者,血管内斑块的发生率较高,而且肾功能不全与混合斑块的发生有密切的相关性。

Objective In the CTA evaluation of renal dysfunction and coronary heart disease （CHD） correlation analysis. Methods Randomly selected during March 2013 to March 2014,our hospital 120 cases of patients with coronary heart disease complicated with renal insufficiency,as the object of the present study on the CTA image examination,observe the patient＇s disease,etc.,and the relationship between renal insufficiency. Results The study of 120 patients with coronary heart disease complicated with renal insufficiency,single vascular lesions and vascular lesions have bigger difference,P 〈 0.05, with statistical significance. The patch types for patients with coronary heart disease without plaque 30.00%（36/120）,calcified plaque,25.00%（30/120）, non calcified plaque,23.33% （28/120）,21.67% （26/120） mixed plaques. Its a risk factor for coronary heart disease patients with hypertension, dyslipidemia,renal insufficiency,and P 〈 0.05,statistical y significant,including renal insufficiency as an independent risk factor. Degree of vascular stenosis in patients with mild,moderate,severe,occlusion without a larger difference,P 〉 0.05,no statistical significance. Conclusion The associated with renal dysfunction in patients with coronary heart disease,the incidence of intravascular plaque is higher,and renal insufficiency has close correlation with the incidence of mixed plaques.