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冠心病病人脉搏波传导速度和踝臂指数变化及意义 被引量:11

CHANGES AND SIGNIFICANCE OF ABI AND PWV OF PATIENTS WITH CORONARY HEART DISEASE
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摘要 目的观察冠心病病人脉搏波传导速度(PWV)、踝臂指数(ABI)的改变及其对冠心病的诊断价值。方法对经冠状动脉造影确诊的68例冠心病病人(冠心病组)和49例非冠心病病人(血管正常组)进行PWV、ABI检测,分析冠心病病人的PWV、ABI变化特征,并与血管正常组对照。结果与血管正常组比较,冠心病组PWV值升高,ABI值降低,差异有显著性(F=81.179、22.969,q=5.354~20.437,P<0.01)。并且随着冠状动脉病变程度加重,PWV值显著增高,ABI值显著降低,差异有显著性(q=3.564~10.784,P<0.05、0.01)。结论PWV、ABI可作为冠心病病人危险分层的评估指标,两者可能是冠心病的独立预测因子。 Objective To investigate the changes and their diagnostic value of PWV and ABI in patients with coronary heart disease (CHD). Methods PWV and ABI were measured in 68 CHD and 49 non-CHD patients. The changes of PWV and ABI and in CHD were analyzed and compared with that of non-CHD. Results Compared with non-CHD, PWV value of CHD increased, ancl ABI decreased, the difference between the two groups were significant (F= 81.179,22. 469;q= 5. 354-20. 437;P〈 0.01). With the aggravation of CHD, PWV rose, and ABI lowered (q=3. 564-10. 784;P〈0. 05,0. 01). Conclusion PWV and ABI, probably an independent predictor of CHD, can be used for risk assessment of the disease.
作者 孙军昌 安毅
出处 《齐鲁医学杂志》 2009年第3期251-252,255,共3页 Medical Journal of Qilu
关键词 脉搏波传导速度 踝臂指数 冠状动脉疾病 Pulse wave velocity Ankle-brachial index Coronary disease
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