冠状动脉病变与颈动脉粥样硬化及脑梗死的关系

孟树萍; 胡延磊; 丁付燕; 王书鹏; 刘超; 王晓航

doi:10.13201/j.issn.1001-1439.2018.10.011

冠状动脉病变与颈动脉粥样硬化及脑梗死的关系

- 河南省人民医院心脏中心成人心血管外科重症监护室(郑州, 450003)

详细信息

通讯作者: 胡延磊,E-mail:huyanlei325@aliyun.com

中图分类号: R541.4

收稿日期: 2018-04-12

Coronary artery lesion and carotid atherosclerosis as well as cerebral infarction

- Cardiovascular Surgery ICU, People's Hospital of Henan Province, Zhengzhou, 450003, China

More Information

Corresponding author: HU Yanlei, E-mail: huyanlei325@aliyun.com

Received Date: 12 April 2018

摘要

摘要: 目的:探讨分析冠心病患者冠状动脉不同病变程度与颈动脉粥样硬化病变及脑梗死发病临床关系。方法:选择我院340例冠心病患者作为研究对象, 并根据冠状动脉病变程度分组, 分析脑梗死及非脑梗死患者颈动脉硬化等级积分、斑块数、斑块积分、脑梗死发生情况。结果:对不同冠状动脉病变程度患者研究发现, 左主干病变组、3支病变组颈动脉硬化等级积分、斑块数、斑块积分及脑梗死发生情况显著高于1支病变组和2支病变组, P＜0.05;脑梗死患者不稳定斑块比率明显高于非脑梗死组, 差异显著, P＜0.05。结论:冠心病、颈动脉粥样狭窄、脑梗死之间关系密切, 冠状动脉狭窄程度越严重, 患者颈动脉病变越重, 脑梗死发生危险率越高, 临床应注意识别危险因素, 积极预防。
- 冠心病 /
- 颈动脉粥样硬化 /
- 脑梗死
Abstract: Objective: To investigate the relationship between coronary heart disease with different degree of coronary artery disease and carotid atherosclerotic lesions as well as the incidence of cerebral infarction.Method: A total of 340 patients with coronary artery disease in our hospital were selected as subjects and grouped according to the degree of coronary artery disease.The characteristics of carotid plaques, grades of carotid atherosclerosis, plaques and plaque scores were found in patients with cerebral infarction and non-cerebral infarction.Result: According to different groups of coronary artery lesions, it was found that the scores of carotid atherosclerosis, plaques, plaque scores, and incidence of cerebral infarction were significantly higher in left main disease group and three-vessel disease group than in one disease group and two branches.In the lesion group, P＜0.05;the rate of unstable plaque in patients with cerebral infarction was significantly higher than that in non-cerebral infarction group, with significant difference (P＜0.05).Conclusion: Coronary heart disease, carotid artery atherosclerosis, cerebral infarction are closely related.The more serious the degree of coronary artery stenosis, the heavier the carotid artery disease, and the higher the risk rate of cerebral infarction.
- coronary heart disease /
- carotid atherosclerosis /
- cerebral infarction

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参考文献(4)

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