首页|心脑联合造影评估心脑血管病变的相关性研究

心脑联合造影评估心脑血管病变的相关性研究

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目的 探讨心脑联合造影在冠心病诊疗过程中的必要性及临床价值.方法 选取2022年1月至2024年7月来昌吉州中医院及合作医院就诊的52例明确或可疑有冠心病或脑血管病变的患者行心脑联合造影,评估冠脉及脑血管狭窄的支数、狭窄程度,根据结果探讨心血管与脑血管动脉粥样硬化性疾病的相关性.结果 52例患者均完成心脑联合造影检查,其中单纯心血管病变5例,单纯脑血管病变4例,同时合并心脑血管病变36例;心血管病变患者中单支16例,两支14例,多支11例,脑血管病变患者中1处19例,2处12例,3处及以上9例.经统计学分析结果显示冠脉狭窄与脑血管狭窄存在明显相关(P<0.05),而两者之间的狭窄数量同样存在正相关(P<0.05).结论 动脉粥样硬化性疾病同时影响心血管及脑血管,两者之间存在相关性,针对此类患者在日常诊疗过程完善心脑联合造影或冠脉和头颈部CTA组套检查具有重大意义.
Study on the correlation between cardiac and cerebral angiography in evaluating cardiovascular and cerebrovascular diseases
Objective To explore the necessity and clinical value of combined cardiac-cerebral angiography in the diagnosis and treatment of coronary heart disease.Methods Fifty-two patients with definite or suspected coronary heart disease or cerebrovascular disease were selected for cardiac-cerebral angiography to evaluate the number and degree of coronary artery and cerebrovascular steno-sis,and to explore the correlation between cardiovascular and cerebrovascular atherosclerotic diseases according to the results.Results All 52 patients completed cardiac-cerebral angiography,including 5 cases with simple cardiovascular disease,4 cases with simple cerebrovascular disease and 36 cases with cardiovascular and cerebrovascular diseases.There were 16 cases with single vessel,14 cas-es with two vessels and 11 cases with multiple vessels in patients with cardiovascular diseases,and 19 cases with one vessel,12 cases with two vessels and 9 cases with three or more vessels in patients with cerebrovascular diseases.Statistical analysis showed that coro-nary artery stenosis was significantly correlated with cerebrovascular stenosis(P<0.05),and the number of stenosis between them was also positively correlated(P<0.05).Conclusion Atherosclerotic diseases affect cardiovascular and cerebrovascular diseases at the same time,and there is a correlation between them.It is of great significance to improve the combined cardiac-cerebral angiography or CTA examination of coronary artery and head and neck in the daily diagnosis and treatment of such patients.

Cardiovascular diseaseCerebrovascular diseaseCombined cardiac-cerebral angiographycorrelation

兰权、刘子浩、桂亮

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昌吉州中医院,新疆 昌吉 831100

心血管病变 脑血管病变 心脑联合造影 相关性

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(9)