冠心病患者颈动脉超声检测的比较分析

目的：通过对冠心病患者进行颈动脉超声检查，探索冠心病与颈动脉IMT、斑块之间的关系。方法选取2006年1月-2010年12月来我院就诊的147例冠心病患者作为病例组，同时选取同期来院就诊的119例非冠心病患者为对照组，并用高频探头测量两组人群的LCCA-IMT、RCCA-IMT，观察是否有斑块形成。结果病例组和对照组之间年龄、性别、吸烟史差异均无统计学意义（P〉0.05）。病例组LCCA-IMT和RCCA-IMT增厚、斑块形成发生率均高于对照组，差异都有统计学意义（P〈0.00001）。结论颈动脉超声检查可为冠心病的早期诊断提供依据。

Comparison and Analysis of Carotid Artery Ultrasonography in Patients with Coronary Heart Disease

Objective Through carotid artery ultrasound examination of patients with coronary heart disease （CHD）, to explore the relationship between CHD and CCA-IMT, artery mottling.Methods 147 patients with CHD and 119 non-CHD patients were enrolled from January 2006 to December 2007. LCCA-IMT and RCCA-IMT were measured by high frequency probe, and observed artery mottling formation or not.Results The difference of age, gender, smoking history between CHD patients group and non-CHD patients group had no statistical significance （P〉0.05）. The incidence of LCCA-IMT and RCCA-IMT incrassation and artery mottling formation in CHD patients group was higher than the non-CHD patients group, and the difference had statistical significance between the two group（P〈0.0001）.Conclusion Carotid artery ultrasonography can provide basis for early diagnosis of CHD.