论文部分内容阅读
目的比较不同程度的冠状动脉(冠脉)硬化患者不同方法的动脉压值相关性及其在冠脉动脉硬化中的意义。方法 113例冠脉造影患者,74例为非冠心病患者(非冠心病组),39例为冠心病患者(冠心病组)。均采取Judkins法,经右侧桡动脉路径行左右冠选择性冠脉造影。在造影过程中分别记录比较无创肱动脉压、有创桡动脉压及有创中心动脉压的收缩压和舒张压,并分析冠脉病变与动脉压的关系。结果非冠心病组及冠心病组患者有创中心动脉压、无创肱动脉压、有创桡动脉压的收缩压、舒张压比较差异均无统计学意义(P>0.05),脉压、平均动脉压在不同方法下比较差异无统计学意义(P>0.05)。非冠心病组与冠心病组相应动脉压及脉压、平均动脉压比较差异均无统计学意义(P>0.05)。不同支数冠脉病变患者各种脉压比较差异均无统计学意义(P>0.05)。结论临床无创肱动脉压与有创动脉压有较好的相关性及一致性,动脉压值的测量从一定程度上并不能反映患者的冠脉病变情况。
Objective To compare the different arterial pressure values and their significance in coronary atherosclerosis in patients with varying degrees of coronary artery (coronary) sclerosis. Methods Thirteen patients with coronary angiography, 74 patients with non-coronary heart disease (non-coronary heart disease group) and 39 patients with coronary heart disease (coronary heart disease group). Take Judkins method, right coronary artery right coronary artery coronary angiography. During the course of contrast, the systolic and diastolic pressures of noninvasive brachial artery, invasive radial artery and invasive central arterial pressure were recorded and compared respectively. The relationship between coronary artery lesion and arterial pressure was analyzed. Results There was no significant difference in systolic blood pressure and diastolic blood pressure between non-CHD group and CHD group (P> 0.05). The mean arterial pressure, noninvasive brachial artery pressure and invasive radial artery pressure had no significant difference (P> 0.05) There was no significant difference in pressure between different methods (P> 0.05). There was no significant difference in arterial pressure, pulse pressure and mean arterial pressure between non-coronary heart disease group and coronary heart disease group (P> 0.05). There was no significant difference in pulse pressure among patients with different branches of coronary artery disease (P> 0.05). Conclusion Clinical noninvasive brachial artery pressure and invasive arterial pressure have good correlation and consistency. The measurement of arterial pressure can not reflect the extent of coronary lesion to a certain extent.