冠状动脉病变积分与脉压指数相关性研究A study of the relationship between coronary artery score and pulse pressure index
张戈,楚天舒,阮志敏,光雪峰,左明鲜,李玉萍,杨瑞丰,蒲里津,李云华
摘要(Abstract)：
目的 探讨冠状动脉病变积分 (CAS)与脉压指数 (PPI)的关系。方法 711例行冠状动脉造影者 ,其中男 4 70例 ,女 2 4 1例 ,年龄 30～ 82 (6 1± 8)岁。以标准Judkins法行冠状动脉造影术 ,计算机定量分析系统 (QCA)分析冠状动脉狭窄程度并计算CAS。标准台式水银血压计测定外周肱动脉收缩压 (SBP)和舒张压 (DBP) ,并计算脉压 (PP)及PPI。结果 年龄、性别、体重指数、SBP、PP、PPI、升主动脉根径 (Ao)、高血压病史、2型糖尿病病史、高密度脂蛋白胆固醇均与CAS有显著相关关系。经多因素Logistic回归分析显示 ,PPI和Ao这两个指标与CAS呈显著正相关 (β =0 0 4 1～ 0 14 9,P均为0 0 0 0 )。结论 PPI和Ao这两个指标与CAS密切相关 ,是冠心病发生发展的良好的预测指标 ,并可应用于临床指导冠心病危险人群的早期干预。
关键词(KeyWords)： 冠状动脉疾病;冠状动脉造影;脉压指数
基金项目(Foundation):
作者(Author): 张戈,楚天舒,阮志敏,光雪峰,左明鲜,李玉萍,杨瑞丰,蒲里津,李云华
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