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目的:探讨无创超声检查颈动脉粥样硬化情况和肱动脉FMD对SAP的价值。方法:将选取的65例SAP患者分为轻度狭窄组、中度狭窄组和重度狭窄组,超声检测所有病例的肱动脉FMD和颈总动脉IMT,并作Califf危险评分和As积分,分析观察指标间的关系。结果:Califf危险评分和As积分都随着冠脉狭窄程度的加深而增大,且二者呈正相关(P<0.05);颈总动脉IMT随着狭窄程度的加深而增大,肱动脉FMD则随着狭窄程度的加深而降低,二者呈负相关(P<0.05)。结论:无创监测颈总动脉IMT和肱动脉FMD,可指导SAP临床风险的控制。
Objective: To investigate the value of noninvasive ultrasonography in detecting carotid atherosclerosis and brachial artery FMD in SAP. Methods: The selected 65 cases of SAP patients were divided into mild stenosis group, moderate stenosis group and severe stenosis group. The brachial artery FMD and common carotid artery IMT in all cases were detected by ultrasound. The Califf risk score and As score were also analyzed. The relationship between indicators. Results: Both the risk score and As score of Califf increased with the severity of coronary stenosis, and there was a positive correlation between the two (P <0.05). The carotid artery IMT increased with the severity of stenosis. The brachial artery FMD As the degree of stenosis deepened, the two were negatively correlated (P <0.05). Conclusion: Non-invasive monitoring of common carotid artery IMT and brachial artery FMD can guide the clinical risk control of SAP.