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|本期目录/Table of Contents|

自拟简易评分法与现行3种冠状动脉造影结果 评分法的比较和相关性分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2008年第6期
页码:
732-733739
栏目:
临床研究
出版日期:
2008-12-25

文章信息/Info

Title:
Comparison and correlation between “Facility coronary scoring system” and three current coronary scoring systems
作者:
李丽; 高大胜
蚌埠医学院第一附属医院心血管科，安徽 蚌埠 233004
Author(s):
LI Li;  GAO Dasheng
Department of Cardiovasology, Affiliated Hospital of Bengbu Medical College, Bengbu 233004, Anhui, China
关键词:
冠状动脉造影; 冠状动脉评分; 冠状动脉疾病
Keywords:
Coronary artery angiography;  Coronary scoring system;  Coronary disease
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 探讨能正确评价冠心病严重程度的简单易行的冠状动脉评分方法。方法 将207例行冠状动脉造影的患者分为对照组和冠心病组，根据冠脉损害的严重程度，分别用Leaman评分法，Gensini评分法，美国心脏病学会/美国心脏协会（ACC/AHA）评分法和自行研制的简易评分法进行评分。采用相关分析、方差分析和Logistic回归分析，进行分析与比较。结果 4种评分方法彼此高度相关，并且与冠心病显著相关。结论 4种评分方法均可作为诊断冠心病的指标，简易评分法值得临床推广使用。
Abstract:
AIM To study coronary scoring system for determining coronary heart diseases. METHODS A study of 207 patients with or without coronary heart disease was performed. Leaman coronary scoring system, Gensini coronary scoring system, ACC/AHA coronary scoring systems and our Facility coronary scoring system were assessed in determining the coronary heart diseases. Multiple statistical analysis methods were used. RESULTS The four coronary scoring systems were closely correlated with each other in determining coronary heart diseases. CONCLUSION Any of the four coronary scoring systems can be used as a diagnosis standard in diagnosis of coronary heart diseases. The use of our facility coronary scoring system can be expanded in clinical practice.

参考文献/References

［1］ Leaman DM, Brower RW, Meester GT, et al. Coronary artery atherosclerosis: severity of the disease, severity of angina pectoris and compromised left ventricular function［J］. Circulation, 1981, 63（2）:285-299.

［2］ Gensini GG. A more meaningful scoring system for determining the severityofcoronaryheartdisease［J］. AmJCardiol, 1983,51(3):606.

［3］ Guidelines for Coronary Angiography. A report of the American College of Cardiology/American Heart Association Task Force on assessment of diagnostic and therapeutic cardiovascular procedures (subcommittee on coronary angiography)［J］. J Am Coll Cardiol, 1987, 10(4):935-950.

［4］ Eigler N, Pfaff JM, Whiting J, et al. The role of digital angiography in the evaluation of coronary artery disease［J］. Int J Cardiol, 1986, 10(1):3-13.

［5］ Spears JR, Sandor T, Als AV, et al. Computerized image analysis for quantitative measurement of vessel diameter from cineangiograms［J］. Circulation, 1983, 68(2):453- 461.

［6］ 李晶玮,赵敏,杜凤和,等. 中年冠心病患者的临床及冠状动脉造影的特点［J］. 临床荟萃, 2007, 22(17):1245-1246.

［7］ 王晋军，杨超慧,张颖,等. 老年冠心病患者冠状动脉病变特点及其危险因素的多元回归分析［J］. 中华老年医学杂志, 2002, 21(3):172-174.

［8］ 马梅,尹浩晔,贾文军,等. 不同冠状动脉评分方法评价冠心病严重程度的关系研究［J］. 中国循环杂志, 2007, 22(5):340-342.

备注/Memo

备注/Memo:
收稿日期：2007-11-07.通讯作者：高大胜，主任医师，主要从事冠心病介入治疗研究 Email:dashenggao@sohu.com 作者简介：李丽，硕士生Email:jzbb1111@126.com
更新日期/Last Update: 2009-03-24