首页|颈动脉高频超声参数与冠心病患者糖脂代谢水平的相关性分析

颈动脉高频超声参数与冠心病患者糖脂代谢水平的相关性分析

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目的 探究颈动脉高频超声参数与冠心病患者糖脂代谢水平的相关性。方法 回顾性分析2021年3月至2022年12月于萍乡市第三人民医院行颈动脉高频超声检查的60例颈动脉斑块合并冠心病者临床资料纳入观察组,同期接受颈动脉高频超声检查的60例单纯颈动脉斑块者临床资料纳入对照组。比较两组受试者颈动脉高频超声参数[斑块体积(PV)、斑块面积(PA)、斑块厚度(PT)]和糖脂代谢指标[空腹血糖(FBG)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)]水平差异,经Pearson线性方程分析冠心病患者颈动脉超声参数与糖脂代谢指标之间的相关性。结果 观察组的PV、PA、PT、FPG、TC、TG水平均高于对照组,HDL-C水平低于对照组,差异有统计学意义(P<0。05);PV、PA、PT 水平分别与 FPG(r=0。457、0。423、0。613)、TC(r=0。528、0。517、0。562)、TG(r=0。571、0。544、0。436)水平呈正相关,与HDL-C(r=-0。475、-0。498、-0。515)水平呈负相关(P<0。05)。结论 颈动脉高频超声参数与冠心病患者糖脂代谢水平有一定相关性,颈动脉高频超声参数越高可能冠心病患者糖脂代谢越差。
Correlation analysis of carotid artery high-frequency ultrasound parame-ters and the level of glucose and lipid metabolism in patients with coro-nary heart disease
Objective To explore the correlation between carotid artery high-frequency ultrasound parameters and the level of glucose and lipid metabolism in patients with coronary heart disease.Methods The clinical data of 60 patients with carotid plaque combined with coronary heart disease who underwent carotid high-frequency ultrasound examination in the Third People's Hospital of Pingxiang City from March 2021 to December 2022 were retrospectively analyzed and included in the observation group,and the clinical data of 60 patients with simple carotid plaque who underwent carotid high-frequency ultrasound examination during the same period were included in the control group.The carotid high-frequency ultrasound parameters(plaque volume[PV],plaque area[PA],plaque thickness[PT])and glucose and lipid metabolism indexes(fasting blood glucose[FBG],total cholesterol[TC],triglyceride[TG],high-density lipoprotein cholesterol[HDL-C])were compared between the two groups.Pearson linear equation was used to analyze the correlation between carotid ultrasound parameters and glucose and lipid metabolism indexes in patients with coronary heart disease.Results The PV,PA,PT,FPG,TC and TG in observation group were higher than those in control group,while the level of HDL-C was lower than that in control group,with statistically significant differences(P<0.05).The PV,PA and PT were positively correlated with FPG(r=0.457,0.423,0.613),TC(r=0.528,0.517,0.562)and TG(r=0.571,0.544,0.436)levels,and were negatively correlated with HDL-C(r=0.571,0.544,0.436)level(P<0.05).Conclusion There is a certain correlation between carotid high-frequency ultra-sound parameters and glucose and lipid metabolism in patients with coronary heart disease.The higher the carotid high-fre-quency ultrasound parameters,the worse the glucose and lipid metabolism in patients with coronary heart disease.

Coronary heart diseaseGlucose and lipid metabolismCarotid plaqueHigh-frequency ultrasound parame-tersCorrelation

吴晓霞、祝中荣、肖娜

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江西省萍乡市第三人民医院B超室,江西萍乡 337000

冠心病 糖脂代谢 颈动脉斑块 高频超声参数 相关性

江西省卫生健康委科技计划项目

202212111

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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