中国全科医学Issue(29)：3435-3438,4.DOI:10.3969/j.issn.1007-9572.2014.29.008
64层螺旋CT冠状动脉成像评价隐匿型冠心病与危险因素的关系
64-slice SPiral CT Coronary AngiograPhy Evaluating the RelationshiP between Latent Coronary Heart Disease and Risk ;Factors
摘要
Abstract
Objective To investigate the relationship of latent coronary heart disease( LCHD)to the risk factors of cardiovascular diseases(CVD)using 64-slice spiral CT coronary angiography(CTA). Methods It gave CTA to 80 LCHD patients who had conventional electrocardiogram or Holter monitoring,radionuclide scanning in Affiliated Xinyu Hospital of Nan-chang University from January 2012 to January 2014,recorded their gender,age,blood pressure,BMI,and determine their levels of fasting blood glucose( FBG),total cholesterol( TC),triglyceride( TG),low density lipoprotein cholesterol( LDL-C),high density lipoprotein cholesterol( HDL-C),apolipoprotein A1 ( Apo-A1 ),apolipoprotein B100 ( Apo-A100 )and lipoproteinα( LP-α). It quantified all observed indicators to analyze the relationship of LCHD to CVD risk factors. Results In 80 LCHD patients,there were 59 cases of mild stenosis,21 of moderate stenosis. There were significant differences in the de-gree of coronary artery stenosis in different ages and different fasting plasma glucose,TC,TG,LDL-C levels(P<0. 05). Logistic regression analysis showed:high blood glucose〔OR =3. 148,95%CI(1. 457,6. 712),P =0. 003〕,TC≥6. 45 mmol/L〔OR=2. 368,95%CI(1. 322,4. 273),P=0. 004〕,hypertension〔OR=2. 256,95%CI(1. 173,4. 337),P=0. 014〕,age≥60 years〔OR=1. 064,95%CI(1. 027,1. 110),P=0. 000〕were more closely correlated with the degree of CAS. Conclusion 64-slice CTA can reveal LCHD CAS clearly,and glucose,TC,high blood pressure,age is narrow oc-cult factors coronary,which is of great clinical significance in its early diagnosis and treatment and in reducing the occurrence of acute coronary events.关键词
64层螺旋CT/冠状动脉成像/隐匿型冠心病/危险因素Key words
64 slice spiral CT/Coronary artery imaging/Latent coronary heart disease/Risk factors分类
医药卫生引用本文复制引用
冯少仁,邹卫兵,肖琼,付海洪,王水珠,刘国辉..64层螺旋CT冠状动脉成像评价隐匿型冠心病与危险因素的关系[J].中国全科医学,2014,(29):3435-3438,4.基金项目
江西省科技厅计划课题 （）
