| 鹿亚平 徐勇 张会明 欧书林 刘俊松 王雷丽.应用运动后踝臂指数评估冠心病冠脉病变程度的临床研究[J].,2014,14(30):5930-5933 |
| 应用运动后踝臂指数评估冠心病冠脉病变程度的临床研究 |
| Application of Resting and Exercise Ankle-brachial Index on Evaluatingthe Severity of Coronary Artery Disease |
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| 中文关键词: 踝臂指数 运动踝臂指数 冠心病 |
| 英文关键词: Ankle-brachial index Exercise ankle-brachial index Coronary stenosis |
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| 中文摘要: |
| 目的：探讨运动后踝臂指数（ABI）与冠状动脉病变程度的相关性及对冠状动脉病变的预测价值。方法：选取2012 年1 月
-2012 年9 月我院收治的冠心病行冠状动脉造影患者117 例，根据造影结果分为正常组（38 例）、轻中度病变组（45 例）和严重病
变组（34 例），术前所有患者均行静息状态及运动后ABI检查。结果：轻中度病变组和重度病变组运动后ABI下降，各组间运动后
ABI差异有显著性（P＜0.05）。由ROC 曲线图可知，运动后ABI诊断冠心病及病变程度的准确性高于静息ABI诊断，差异具有统
计学意义（P＜0.01）。结论：静息ABI 和运动后ABI 对冠心病均有诊断价值，运动后ABI 诊断价值更高。静息下ABI和运动后
ABI对冠状动脉严重病变有中等诊断价值，运动后ABI对冠状动脉严重病变诊断价值较高。 |
| 英文摘要: |
| Objective:To find the correlation between the extent of coronary lesions with ankle-brachial index (ABI) and the predictive
value of coronary lesions of ABI and exercise ABI.Methods:117 patients who were suspected with coronary heart disease(CHD)
were collected and divided into normal group and CHD group according to coronary arteriography results. The patients in the CHD group
were further divided into mild-moderate lesions group and severe lesions group. The ABI and exercise ABI of patients were measured
and compared. The ROC curve of ABI's and exercise ABI's diagnostic value were compared.Results:The exercise ABI between normal
group and severe lesions group had significant difference. The exercise ABI in mild-moderate lesions group and ABI in severe lesions
group were decreased. The excercise ABI's AUC to diagnose serious coronary heart disease was better than ABI.Conclusion:Exercise
ABI may have better predictive value of serious coronary lesions. |
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