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目的探讨颈动脉硬化程度与冠心病血管病变程度及临床症状的关系,判断颈动脉超声对冠心病的预测价值。方法可疑冠心病130例患者同时行颈动脉超声及冠状动脉造影检查,分别按冠脉临床症状及冠脉病变程度分组对照观察。结果在颈动脉病变超声结果与临床症状差方分析中,二者结果具有很好的相关性(P<0.05),相关程度r=0.581,颈动脉病变与冠状动脉造影病变严重程度亦有良好的正相关性(P<0.05),相关程度r=0.49。结论颈动脉硬化程度与冠心病临床表现及冠状动脉病变程度均具由相关性,颈动脉超声对冠心病有一定的预测价值,可作为冠心病的早期预测因素。
Objective To investigate the relationship between the degree of carotid atherosclerosis and the severity of coronary artery disease and clinical symptoms and to evaluate the predictive value of carotid artery ultrasound in coronary heart disease. Methods 130 patients with suspected coronary heart disease simultaneously underwent carotid ultrasound and coronary angiography, respectively, according to clinical symptoms and coronary artery disease grouping control group. Results There was a good correlation between the ultrasound results of the carotid artery lesions and the clinical symptoms (P <0.05), the correlation was r = 0.581, and the severity of carotid artery lesions and coronary angiography were also good Positive correlation (P <0.05), the correlation degree r = 0.49. Conclusions The degree of carotid atherosclerosis is correlated with the clinical manifestations of coronary heart disease and the degree of coronary artery disease. Carotid artery ultrasound has certain predictive value on coronary heart disease, which can be used as an early predictor of coronary heart disease.