新医学Issue(1)：56-60,5.DOI:10.3969/j.issn.0253-9802.2016.01.012
成人冠状动脉扩张的临床特点及相关因素分析
Clinical characteristics and risk factors of coronary artery ectasia in adults
陈建海 1季祥武 2张志会 1周鹏1
作者信息
- 1. 261000 潍坊，潍坊医学院
- 2. 261000 潍坊，潍坊医学院附属潍坊市人民医院
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics,incidence and risk factors of coro-nary artery ectasia (CAE).Methods In total,3 443 hospitalized patients undergoing elective coronary angi-ography were retrospectively analyzed.Among them,68 patients diagnosed with CAE were selected and as-signed into the observation group.Seventy two patients with obstructive coronary artery disease (OCAD)and 70 with normal coronary artery (NCA)were allocated into the control group by random number table method.Clinical characteristics and biochemical indexes were statistically compared between three groups.Results The incidence of CAE was 1.98%,mainly in the right coronary artery with an incidence rate 54.41% among all patients,followed by anterior descending branch (20.59%).The incidence of CAE in two branches of the coronary artery was 7.35%,and 10.29% for three branches of the coronary artery.The level of fasting plasma glucose (FPG)in patients with CAE was significantly lower than that in OCAD counterparts (P <0.05).In CAE group,we found that the incidence of male of coronary artery ectasia was significantly higher than NCA group.The age of CAE patients was significantly older and the lipoprotein a level was considerably higher com-pared with those of NCA counterparts (P <0.05).Logistic regression analysis revealed that the risk factors of CAE were male (OR =3.299,95%CI 1.529-7.119,P =0.002),old age (OR =1.041,95%CI 1.001-1.082,P =0.045)and high level of LP (a)(OR =1.020,95%CI 1.003-1.037,P =0.023).Conclusions The incidence of CAE is the highest in the right coronary artery.Male gender,old age and high level of lipo-protein a are risk factors of the incidence of CAE in adults.关键词
冠状动脉扩张/成人/危险因素/粥样硬化Key words
Coronary artery ectasia/Adult/Risk factors/Atherosclerosis引用本文复制引用
陈建海,季祥武,张志会,周鹏..成人冠状动脉扩张的临床特点及相关因素分析[J].新医学,2016,(1):56-60,5.
