腰围甘油三酯指数与非ST段抬高型急性冠脉综合征冠状动脉评分的相关性研究

目的：研究腰围甘油三酯指数与非ST段抬高型急性冠脉综合征患者冠状动脉评分的相关性.方法：连续入选在我院就诊的非ST段抬高型急性冠脉综合征患者.所有患者均完成冠状动脉造影,计算冠状动脉 Gensini 评分,分析腰围、体重指数、腰围身高比、腰围甘油三酯指数和冠状动脉 Gensini 评分的相关性.结果：共入选226例患者,平均年龄（60.5±9.6）岁,女性71例,男性155例.简单线性回归分析表明,腰围、体重指数、腰围身高比、WT 指数与 Gensini 评分相关（P〈0.05）.多元线性回归分析发现,在校正多种因素后,只有 WT 指数与 Gensini 评分相关.结论：腰围甘油三酯指数与非 ST 段抬高型急性冠脉综合征患者冠状动脉 Gensini 评分有关,可以用于冠状动脉病变程度的评估.

Objective To study the correlation between waist circumference-triglyceride （WT） index and coronary scores in patients with non-ST-segment elevation acute coronary syndrome （NSTE-ACS）.Methods Patients admitted to our hospital with NSTE-ACS from April 2014 to December2015 were enrolled. Coronary artery angiography was performed in all patients. Gensiniscores of coronary artery were calculated. The correlation between waist circumference, body mass index, waist to height ratio, WT index and Gensini scores were analyzed. Results A total of 262 patients were enrolled, 71 of them were female. Age was 60.5±9.6 years. Linear regression showed that waist circumference, body mass index, waist to height ratio, WT index were significantly correlated with Gensini scores （P〈0.05）. Multiple linear regression showed that WT index was only significantly correlated with Gensini scores （P〈0.05） after several factors were adjusted.Conclusions WT index was correlated with coronary scores in patients with NSTE-ACSand may be used to assess the severity of coronary artery.