冠心病患者舌底脉络征象与冠状动脉粥样硬化的相关性

Correlation Between Sublingual Collaterals Signs and Coronary Atherosclerosis of Coronary Heart Disease Patients

目的观察冠心病患者的舌底脉络征象与冠状动脉粥样硬化的关系。方法收集冠心病患者80例,采集舌像,观察其舌底络脉征象,将舌底络脉从长短、粗细、迂曲程度及颜色4个方面进行等级描述,并将其与健康志愿者77例进行比较。根据冠状动脉CT或冠状动脉造影检查结果将冠心病患者冠状动脉病变分为单支病变、双支病变、多支病变,分析冠状动脉病变支数与舌底脉络征象的相关性。结果与健康志愿者比较,冠心病患者舌底脉络的长短、粗细、颜色、迂曲程度方面差异均有统计学意义(P<0.01)。冠心病患者舌底络脉长、粗、紫暗、迂曲。冠心病患者不同冠状动脉病变支数与舌底脉络在长短、颜色、迂曲程度方面均有显著相关性(P<0.001),冠状动脉病变支数越多,舌底脉络越长、颜色越深、迂曲程度越重;不同冠状动脉病变支数与舌底脉络在粗细未显示显著相关性(P>0.05)。结论冠心病患者舌底络脉长短、粗细、颜色、迂曲程度方面均与健康者有差异,且冠状动脉病变支数与舌底脉络的长短、颜色、迂曲程度均有相关性。

Objective To study the relationship between sublingual collaterals signs and coronary atherosclerosis of coronary heart disease（CHD）patients.Methods Eighty CHD patients were involved.Their tongue images were collected.Their sublingual collaterals signs were observed and described by grade from length,diameter,tortuosity and color.These data were compared with 77 healthy volunteers＇.According to coronary CT or coronary angiography results,diseases of CHD patients were divided into single-vessel,double-vessel and multi-vessel.The correlation between coronary lesion vessels and sublingual collaterals signs was analyzed.Results Compared with 77 healthy volunteers,the difference of sublingual collaterals＇ length,diameter,tortuosity and color of CHD patients was significant（P〈0.01）.Sublingual collaterals of CHD patients were long,thick,dark purple and tortuous.There was obvious correlation between different coronary lesion vessels and sublingual collaterals in length,tortuosity and color（P〈0.001）.The more coronary lesion vessels,the longer,deeper color and more tortuous the sublingual collaterals were.No obvious correlation showed between different coronary lesion vessels and sublingual collaterals in diameter（P〉0.05）.Conclusion Sublingual collaterals＇ length,diameter,color and tortuosity of CHD patients were different from those of healthy people.There was correlation between coronary lesion vessels and sublingual collaterals in length,color and tortuosity.