冠状动脉TIMI血流和内皮功能及其影响因素的相关性分析

    Correlation analysis of TIMI blood flow,vascular endothelial function and influential factors

    • 摘要: 目的:研究冠状动脉TIMI血流与血管内皮功能、胆固醇及血浆同型半胱氨酸浓度之间的相关性。方法:行冠状动脉造影患者120例,造影前应用高频超声测定血管内皮功能的主要指标(肱动脉基础内径、反应性充血后肱动脉内径变化率、服硝酸甘油后肱动脉内径变化率)、胆固醇及血浆同型半胱氨酸浓度,造影后按TIMI血流情况分为TIMI血流3、2、1、0级共4组。结果:不同TIMI血流组患者的胆固醇、血浆同型半胱氨酸浓度、血管内皮功能差异均有统计学意义(P<0.01)。结论:TIMI血流和血管内皮功能、血脂及血浆同型半胱氨酸浓度有一定关系,TIMI血流越差,血管内皮功能损害越严重,血脂及血浆同型半胱氨酸浓度越高。

       

      Abstract: Objective:To analyze the correlation between the coronary artery TIMI blood flow and vascular endothelial function,concentrations of serum homocysteine and cholesterin as well as.Methods:One hundred and twenty patients received coronary angiography were selected.The main data (baseline of brachial artery,the flow-mediated dilatation and the nitroglycerin-induced dilatation) of the endothelial function were measured with high resolution ultrasonography before coronary angiography was performed and the concentrations of serum homocysteine and cholesterin were detected.Then the patients were grouped by TIMI blood flow as TIMI 3,2,1,0.Results:The vascular endothelial function,the concentration of serum homocysteine and cholesterin were significant different among the TIMI grade groups (P<0.01).Conclusions:TIMI blood flow is correlated with the vascular endothelial function as well the concentration of serum homocysteine and cholesterin.The lower the grade of TIMI blood flow is,the heavier the vascular endothelial dilatation function damage will be,and the higher the concentrations of serum homocysteine and cholesterin.

       

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