首页|动脉硬化指数联合脉压指数对冠心病患者冠状动脉病变程度的预测价值

动脉硬化指数联合脉压指数对冠心病患者冠状动脉病变程度的预测价值

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目的 分析动脉硬化指数联合脉压指数预测冠心病患者冠状动脉(简称冠脉)病变程度的价值。方法 选取72例冠心病患者,依据冠脉病变支数将其分为单支组(21例)、双支组(34例)、3支组(17例)。对比三组的动脉硬化指数、脉压指数,并采用Pearson相关性分析探讨其与冠脉病变程度的关系。绘制ROC曲线,分析联合指标的预测价值。结果 3支组动脉硬化指数、Gensini评分高于其他两组,脉压指数高于单支组;双支组动脉硬化指数、Gensini评分高于单支组(P<0。05)。动脉硬化指数、脉压指数与Gensini评分呈正相关。将双支组与3支组作为整体、以单支组作为对照绘制ROC曲线,结果显示,动脉硬化指数、脉压指数对冠心病患者的冠脉病变程度具有一定的预测价值(AUC=0。897、0。697),而联合检测的预测价值更高(AUC=0。924)。结论 动脉硬化指数、脉压指数与冠心病患者冠脉病变程度密切相关,联合检测的预测价值更高。
Value of arteriosclerosis index combined with pulse pressure index in predicting degree of coronary artery lesions in patients with coronary heart disease
Objective To analyze the value of arteriosclerosis index combined with pulse pressure index in predicting the degree of coronary artery lesions in patients with coronary heart disease(CHD).Methods Seventy-two patients with CHD were selected,and divided into single-branch group(21 cases),double-branches group(34 cases)and three-branches group(17 cases)according to the number of lesioned coronary arteries.Arteriosclerosis index and pulse pressure index were compared among the three groups.Pearson correlation analysis was used to explore the relationship between the indexes and the degree of coronary artery lesions.ROC curve was drawn to analyze the predictive value of the combined index.Results The arteriosclerosis index and Gensini score of the three-branches group were higher than those of the other two groups,and the pulse pressure index was higher than that of the single-branch group.Arteriosclerosis index and Gensini score in the double-branches group were higher than those in the single-branch group(P<0.05).The arteriosclerosis index and pulse pressure index were both positively correlated with Gensini score.ROC curve was drawn taking the double-and three-branches groups as a whole and the single-branch group as the control.The results showed that arteriosclerosis index and pulse pressure index had certain predictive value for the degree of coronary artery disease in patients with CHD(AUC=0.897 and 0.697,respectively),and the combined detection had greater predictive value(AUC=0.924).Conclusion Arteriosclerosis index and pulse pressure index are closely related to the degree of coronary artery disease in patients with CHD.The combined detection of the two indexes has greater predictive value for the degree of coronary artery disease.

coronary heart diseasearteriosclerosis indexpulse pressure indexdegree of coronary artery lesion

高亚萍、张政、王娇

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473000 河南南阳,南阳市第一人民医院心血管内科

冠心病 动脉硬化指数 脉压指数 冠状动脉病变程度

2024

实用心电学杂志
江苏大学

实用心电学杂志

影响因子:0.648
ISSN:2095-9354
年,卷(期):2024.33(2)
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