[1]张敏琴,魏峥.急性冠脉综合征男性患者舌下络脉与Gensini积分的相关性[J].西部中医药,2021,34(09):142-146.[doi:10.12174/j.issn.2096-9600.2021.09.39]
　ZHANG Minqin,WEI Zheng.The Correlation between Sublingual Collaterals and Gensini Scores in Male Patients with Acute Coronary Syndrome[J].Western Journal of Traditional Chinese Medicine,2021,34(09):142-146.[doi:10.12174/j.issn.2096-9600.2021.09.39]
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急性冠脉综合征男性患者舌下络脉与Gensini积分的相关性
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年09期
页码:
142-146
栏目:
诊断剖析
出版日期:
2021-09-15

文章信息/Info

Title:
The Correlation between Sublingual Collaterals and Gensini Scores in Male Patients with Acute Coronary Syndrome
作者:
张敏琴, 魏峥
广州中医药大学附属广东中西医结合医院心血管内科，广东 佛山 528200
Author(s):
ZHANG Minqin, WEI Zheng
Cardiovascular Medicine, Guangdong Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Guangzhou University of Chinese Medicine, Foshan 528200, China
关键词:
急性冠脉综合征; 冠心病; 舌下络脉; Gensini积分; 相关性
Keywords:
acute coronary syndrome; coronary heart disease; sublingual collaterals; Gensini scores; the correlation
分类号:
R541
DOI:
10.12174/j.issn.2096-9600.2021.09.39
摘要:
目的观察急性冠脉综合征（acute coronary syndromes，ACS）男性患者舌下络脉与冠脉病变的关系，探讨舌下络脉与冠脉狭窄程度积分（Gensini积分）的相关性。 方法分析104例急性冠脉综合征男性患者舌下络脉征象，以Gensini冠脉评分评价冠脉病变程度，将患者根据Gensini冠脉病变评分的四分位数分为四个等级，Q1组28例（0～22分）、Q2组25例（23～38分）、Q3组28例（39～72分）、Q4组23例（73～160分），并将其与可疑冠心病男性患者经造影结果为阴性对照组30例进行比较。 结果各组年龄、吸烟史、糖尿病史、体质指数（body mass index，BMI）、血糖（blood glucose，GLU）、甘油三酯（triglyceride，TG）、总胆固醇（total cholesterol，TC）、高密度脂蛋白胆固醇（high density lipoprotein cholesterol，HDL-C）、不稳定性心绞痛（unstable angina，UA）水平比较差异均无统计学意义（P＞0.05）；各组高血压病史、LDL-C、HCY水平比较差异有统计学意义（P＜0.05）。ACS舌下络脉0～Ⅲ度患者所占比例分别为3.85%、24.04%、51.92%、20.19%，以Ⅰ度、Ⅱ度及Ⅲ度为主，异常变化率为72.12%；对照组舌下络脉0～Ⅲ度患者所占比例分别为53.33%、33.33%、13.33%、0.00%，以0度及Ⅰ度为主，异常变化率为13.33%；经Spearman相关检验，ACS患者Gensini积分与舌下脉络变化有关（r=0.524，P＜0.01），舌下脉络分级越高，Gensini积分越高。青、中、老年组舌下络脉异常变化率分别为31.25%、78.05%、78.72%，舌下脉络变化与年龄有关（r=0.249，P＜0.05），随年龄增长舌下脉络分级加重。 结论ACS患者舌下脉络与冠脉病变有一定相关性，舌下络脉分级越高，Gensini积分越高。
Abstract:
ObjectiveTo observe the correlation between sublingual collaterals and coronary artery disease in male patients with ACS, and explore the connections between sublingual collaterals and Gensini scores. MethodsThe signs of sublingual collaterals in 104 male patients with ACS were analyzed, the degree of coronary artery disease was evaluated by Gensini artery score, the patients were classified into four grades according to the quartile of Gensini coronary lesion score, 28 cases in Q1 group (0 to 22 points), 25 cases in Q2 group (23 to 38 points), 28 cases in Q3 group (39 to 72 points), 23 cases in Q4 group (73 to 160 points), and these patients were compared with 30 cases in negative control group who were suspected coronary heart disease and negative by angiography. ResultsThe difference had no statistical meaning in age, history of smoking, diabetes mellitus history, the levels of BMI, GLU, TG, TC, HDL-C and UA in different groups (P>0.05); the difference had statistical meaning in history of hypertension, the levels of LDL-C and HCY in different groups (P<0.05). The proportions of ACS patients with sublingual collaterals of 0 to Ⅲ degree were 3.85%, 24.04%, 51.92% and 20.19%, mainly of the degree I, II and III, abnormal change rate was 72.12%; the proportions of ACS patients with sublingual collaterals of 0 to Ⅲ degree were 53.33%, 33.33%, 13.33% and 0.00% respectively, mainly of the degree 0 and I, abnormal change rate was 13.33%; Gensini scores of ACS patients were related to the changes of sublingual collaterals by Spearman correlation test (r=0.524, P<0.01), the higher the classifications of sublingual collaterals were, the higher Gensini scores were. Abnormal change rates of sublingual collaterals in young, middle-aged and elderly groups were 31.25%, 78.05% and 78.72% respectively, the changes of sublingual collaterals were related to age (r=0.249, P<0.05), the sublingual collaterals grading increased with age. ConclusionThere is a certain correlation between sublingual collaterals of ACS patients and coronary artery disease, the higher sublingual collaterals grading is, the higher Gensini scores are.

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备注/Memo

备注/Memo:
张敏琴（1989—），女，硕士学位，医师。研究方向：心血管疾病的中西医结合诊治。
更新日期/Last Update: 2021-09-15