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目的探讨慢性阻塞性肺疾病(COPD)评估在预测颈动脉斑块发生中的作用。方法选取2013年7月至2014年11月收治的92例COPD患者为观察组,另同期选取进行健康体检的人群104例为对照组。对所有患者均实行颈动脉彩超检查。观察两组患者的生化指标、IMT、斑块检出情况以及吸烟指数。结果观察组患者的hs-CRP、Fbg水平、斑块检出率、IMT以及吸烟指数均明显高于对照组,血清TC、TG、HDL-C以及HDL-C水平明显低于对照组,差异均有统计学意义(均P<0.05)。结论 COPD患者出现颈动脉斑块较为普遍,可作为一个独立的预测指标。
Objective To investigate the role of chronic obstructive pulmonary disease (COPD) in predicting carotid plaque. Methods A total of 92 patients with COPD admitted from July 2013 to November 2014 were selected as the observation group and 104 healthy people were selected as the control group in the same period. Carotid ultrasonography was performed on all patients. The biochemical indexes, IMT, plaque detection and smoking index of two groups were observed. Results The hs-CRP, Fbg, plaque detection rate, IMT and smoking index in the observation group were significantly higher than those in the control group, and the levels of TC, TG, HDL-C and HDL-C in the observation group were significantly lower than those in the control group There was statistical significance (all P <0.05). Conclusion Carotid plaques appear more common in patients with COPD and may be used as an independent predictor.