高血压病与冠状动脉造影病变程度及特征的关系

The Study of Angiographic Features and Stegnotic Lesion Degree of Coronary Artery in Hypertension.

目的:探讨高血压病及其病程与冠状动脉造影病变程度及其特征的关系。方法:503例住院患者作为研究对象,所有病例均经选择性冠状动脉造影分组,按照有无冠状动脉狭窄及其程度分为六组。根据造影结果对资料进行分组比较和定量评价。结果:随着高血压病患病时间的延长,冠状动脉的病变程度逐渐加重,三支病变和弥漫病变逐渐增多;二者呈正相关关系,相关系数为:0.301,P【0.0001。随着高血压患病时间的延长,Gensini评分基本呈逐渐增加的关系,二者呈正相关关系,相关系数为:0.283,P【0.0001。说明高血压病是冠状动脉病变严重程度的相关因素。结论:高血压病是冠状动脉病变严重程度的相关因素,高血压病患者病程愈长冠状动脉造影病变程度及范围愈重。

Objective:To evaluate the angiographic features and stegnotic lesion degree of coronary artery in hypertension.Correlation between time of hypertensive history and stegnotic lesion degree of coronary artery.Methods:503 cases of patients all assessed with coronary angiography were divided into five groups according to the stegnotic lesion degree of coronary artery.Their hypertension and diabetic mellitus was assessed for evaluating coronary artery stenosis and Gensini’s score were applied to analyze the coronary artery lesion.Results:Along with the stegnotic lesion degree of coronary artery heavier,the number of hypertension patients more,the difference was significant; the course of hypertension was longer with the heavier of lesion degree of coronary artery, the difference was also significant.Its course of hypertensive time were Correlated with the lesion degree of coronary artery. r =0.301,P<0.0001,with the Gensini’s score r =0.283,P<0.0001.Conclusion:Hypertension was close relative factors in the stegnotic lesion degree of coronary artery,the longer of the course of hypertension,the heavier of the stegnotic lesion degree of coronary artery,the more branches were involved.