《肱-踝脉搏波传导速度与踝臂指数对冠状动脉病变程度的诊断价值》.pdf

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1、·1228·山西医药杂志2015年6月第44卷第11期ShanxiMedJ，June2015，Vo1．44，No．11肱一踝脉搏波传导速度与踝臂指数对冠状动脉病变程度的诊断价值干艳捷何琼王家宁【摘要】目的评价肱一踝脉搏波传导速度(baPWV)与踝臂指数(ABI)对冠状动脉病变程度的诊断价值。方法选取我院2012年6月至2014年5月同时接受冠状动脉造影、ABI和baPWV检查的患者132例，根据冠状动脉造影结果，将患者分为非冠心病组(I组)、冠心病单支血管病变组(II组)、冠心病2支血管病变组(m组)及3支病变组(IV组)。分析4组ABI

2、和baPWV的差异。结果baPwV在非冠心病组、单支病变组、2支病变组、3支病变组组间相比差异均有统计学意义(P<0．05)，冠心病各组baPWV水平与Gensini积分呈正相关。ABI仅在3支病变组与其他3组相比差异有统计学意义(P

3、ial—anklepulsewavevelocityandanklebrachialindexinclassifyingcoronaryarterylesionGanYanjie，HPQiong，WangJianing．DepartmentofElectrocardiogam，PeopleSHospitalofHubeiMedicalCollege，Shiyan442000，China[Abstract]0bjectiveToevaluatehrachial—anklepulsewavevelocity(baPWV)andanklebra

4、chialindex(ABI)valuesindiagnosisofcoronaryarterylesions．MethodsOnehundredandthirty—twopatients，whounder—wentcoronaryangiography，ABIandbaPWVexamination，wereselectedfromMay2012toMay2014inourhos—pita1．Accordingtotheresultsofcoronaryangiography，thepatientsweredividedintononCH

5、Dgroup(GroupI)，coronaryheartdisease，singlevesseldiseasegroup(GroupII)，coronaryheartdisease，twovesseldiseasesgroup(Group1I)andthreevesseldiseasesgroup(GroupIV)．ThedifferencesofABIandbaPWVof4groupswereanalyzed．ResultsThereweresignificantdifferencesbetweennonCHDgroup，singlev

6、esseldiseasegroup，doublevessellesions，threebranchlesionsgroupinbaPWV(P

7、sgroup，ABIcanbeusedfordi—agnosesofthreecoronaryarterybrancheslesionwithsensitivityof57andspecificityof63．ConclusionbaP—WVrisereflectsearlystageofcoronaryarterydisease，andwascorrelatedtotheseverityofcoronaryarterydis—ease．ABIdecreaseindicatesmoreadvancedcoronaryarterylesio

8、n，reflectingtheseverelesionsofcoronaryartery．[Keywords]Ankle-brachialindex；Brachial—anklepulsewa