【作者】 张永强；

【导师】 颜光烈；

【作者基本信息】 福建医科大学 ， 内科学， 2004， 硕士

【摘要】 目的:通过冠状动脉造影的同时行非选择性颈、肾、髂动脉造影,从而研究冠状动脉与颈、肾及髂动脉粥样硬化病变的相关性。方法:2002年1月至2003年12月,共纳入103例在冠状动脉造影后即刻行颈、肾及髂动脉非选择性造影的病人,分析颈、肾及髂动脉粥样病变的检出率、危险因素及与冠状动脉粥样病变的相关性。结果:颈、肾及髂动脉粥样病变的总检出率分别为14.6%(15/103)、21.4%(22/103)、20.4%(21/103);冠状动脉粥样硬化性心脏病患者中颈、肾及髂动脉粥样病变的发病率明显高于非冠心病组(P<0.05);随着冠状动脉病变程度的增加,颈、肾及髂动脉粥样病变的发生率随之增加(P<0.05); 多因素分析,其中高胆固醇血症、糖尿病及冠状动脉病变水平有显著差异;造影前后患者血尿素氮、肌酐无明显变化(P>0.05)。结论:颈、肾及髂动脉粥样病变与冠状动脉粥样硬化性心脏病密切相关,对于有脑血管症状、顽固性高血压、下肢缺血性病变的冠心病患者,应在冠状动脉造影后行颈、肾及髂动脉造影,除外周围血管病变,指导动脉粥样硬化的综合治疗。更多还原

【Abstract】 Objective:To Study the relationship between coronary and carotid , renal , iliac artery atherosclerosis by angiography. Methods:From January 2002 to December 2003,carotid ,renal and iliac angiography was performed immediately in103 patients after coronary angiography(CAG) to screen carotid, renal and iliac artery atherosclerosis. Clinical characteristics, procedural complications,and degree of carotid,renal and iliac artery atherosclerosis were recorded for further analysis. Bun、Cr of 103 patients were measued before and after Angiography. Results:The overall prevalence of carotid,renal and iliac artery atherosclerosis were 15%(15/103)、21%(22/103)、20%(22/103);The incidence rate carotid , renal and iliac artery atherosclerosis was significant differences between the coronary artery disease(CHD) group and control non-CHD (P<0.05);The more serious the coronary heart disease, the higher incidence rate carotid , renal and iliac artery atherosclerosis was . (P<0.05 ); Multivariate analysis indicated the prevalence of carotid , renal and iliac artery atherosclerosis was significantly related to diabetes mellitus,high blood cholesterol and multivessel coronary artery disease; The procedure had no significant effect on the Bun、Cr(P>0.05).Conclusions:There were close relationship between coronary and carotid , renal , iliac artery atherosclerosis.更多还原