眼底动脉硬化对冠状动脉狭窄的预测价值分析

Value of fundus arteriosclerosis in predicting coronary artery stenosis

目的分析眼底动脉硬化对冠状动脉狭窄的预测价值。方法选取我院2016年7月~2017年4月收治的疑似冠心病患者90例作为研究对象。采取冠状动脉造影和无创眼底检查,对比检查结果进行分析,分析冠状动脉硬化危险因素。结果冠状动脉轻度狭窄有66.7%合并出现眼底动脉硬化,中度狭窄有63.3%合并出现眼底动脉硬化,重度狭窄有56.7%合并出现眼底动脉硬化。冠状动脉轻度狭窄患者出现轻度眼底动脉硬化有40%;冠状动脉中度狭窄患者出现轻度眼底动脉硬化有45%;冠状动脉重度狭窄患者出现轻度眼底动脉硬化有23.5%;冠状动脉轻度狭窄患者出现中重度眼底动脉硬化有60%;冠状动脉中度狭窄患者出现中重度眼底动脉硬化有52.6%;冠状动脉重度狭窄患者出现中重度眼底动脉硬化有76.5%。结论眼底动脉硬化应该与冠心病的严重程度成正相关,因此眼底动脉的硬化程度可以对冠状动脉狭窄程度进行预测,眼底检查作为冠状动脉狭窄的初步诊断方法,也是筛选冠状动脉疾病的方法,用于冠心病的早期诊断、治疗和预后有重要的意义。

Objective To investigate the value of fundus arteriosclerosis in predicting coronary artery stenosis.Methods A total of 90 patients who were admitted to our hospital from July 2016 to April 2017 and were suspected of coronary heart disease were enrolled as research subjects.Coronarography and noninvasive fundus examination were performed for all patients,and the results were analyzed to identify the risk factors for arteriosclerosis.Results AAmong the patients with mild coronary artery stenosis,66.7%were complicated by fundus arteriosclerosis;among those with moderate coronary artery stenosis,63.3%were complicated by fundus arteriosclerosis;among those with severe coronary artery stenosis,56.7%were complicated by fundus arteriosclerosis.Among the patients with mild coronary artery stenosis,40%had mild fundus arteriosclerosis and 60%had moderate-to-severe fundus arteriosclerosis;among those with moderate coronary artery stenosis,45%had mild fundus arteriosclerosis and 52.6%had moderate-to-severe fundus arteriosclerosis;among those with severe coronary artery stenosis,23.5%had mild fundus arteriosclerosis and 76.5%had moderate-to-severe fundus arteriosclerosis.Conclusion The severity of fundus arteriosclerosis is positively correlated with that of coronary heart disease,and thus the severity of fundus arteriosclerosis can be used to predict the degree of coronary artery stenosis.Fundus examination becomes a preliminary diagnostic method for coronary artery stenosis and a method for screening out coronary artery disease,and therefore,it plays an important role in the early diagnosis,treatment,and prognostic evaluation of coronary artery disease.