冠心病患者颈动脉硬化与冠状动脉硬化的相关性研究

目的探讨冠心病患者颈动脉粥样硬化与冠状动脉粥样硬化之间的关联性。方法回顾性分析该院200例患者冠状动脉造影结果,非冠心病组100例,冠心病组100例,其中单支病变组32例,二支病变组33例,三支病变组35例,比较冠心病组(不同冠状动脉病变支数三组)与非冠心病组间IMT、斑块积分及Gensini冠状动脉造影评分。结果冠心病组IMT、斑块积分及Gensini评分较非冠心病组明显高(P<0.05);二支病变组与三支病变组IMT、斑块积分及Gensini评分较单支病变组明显高(P<0.05);冠状动脉病变支数与IMT、斑块积分呈正相关性,Gensini冠状动脉造影评分与IMT、斑块积分成正相关性(P<0.05)。结论冠心病患者颈动脉硬化与冠状动脉硬化成显著正相关性,冠状动脉粥样硬化程度随着患者颈动脉粥样硬化程度增强而加重。

Research on the relationship between carotid artery atherosclerosis and coronary artery atherosclerosis for patients with coronary heart disease

Objective To explore the relationship between carotid artery atherosclerosis and coronary artery atherosclemsis for patients with coronary heart disease. Methods A retrospective analysis of the results of coronary angiographyln of 200 cases in our hospital, 100 cases in non coronary heart disease group, 100 cases in CAD group, 32 cases in single vessel disease group, 33 cases in two - vessel group, 35 cases in three - vessel group, compared the IMT, Plaque score and Gensini coronary artery score of CAD group （different coronary artery lesion counts three groups） and non coronary heart disease group. Results The IMT, Plaque score and Gensini coronary artery score of CAD group were all higher than that in non coronary heart disease group （P 〈 0.05）, the IMT, Plaque score and Gensini coronary artery score of two - vessel group and three - vessel group was higher than single vessel disease group （P〈 0.05）, There was a positive correlation between the number of diseased coronary arteries and IMT, Plaque score （P 〈 0.05） ; There was a positive correlation between Gensini coronary artery score and IMT, Plaque score （P 〈 0.05）. Conclusion There is a positive correlation between carotid artery atherosclerosis and coronary artery atherosclerosis for patients with coronary heart disease, the degree of coronary atherosclerosis in patients with carotid atherosclerosis and increased with increased degree.