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1、冠心病右冠病变的临床分析【摘要】日的：分析我科冠心病患者临床症状和冠脉造影资料，总结右冠狭窄的临床特点。方法：统计我科2002至2006所冇行冠脉造影并确诊冠心病的冠脉狭窄资料，将其分为单支血管病变组和多支病变组，予右冠和左冠病变作对比分析，并予x2检验，以了解右冠病变的特点。结果：多支病变组右冠狭窄发病率和左冠相差不明显(P>005),而单支病变组右冠狭窄发病率明显低于左冠(P<0()01)o结论：右冠狭窄病变除发病率低外,这可能由于右冠和左冠及其它们供应的心肌部位Z问存在一定解剖和生理的差异，使右冠狭窄时不易出心肌缺血，或心肌缺血症状
2、少甚至缺乏，而发现率低冇关。【关键词】右冠狭窄解剖和生理缺血症状少发现率低Clinicalanalysisofstenosisofrightcoronaryartery亿HOUZhilwen,SHIPei,XUGuanlxue,LIUXilping,HAOXing,LIUZelmei^CHENJianlling,TANMin//ChineseJournalofCardiovascularRehabilitationMedicine,2006,15(5):Abstract：Objective:Inordertoconcludetheclin
3、icalcharacterofstenosisofrightcoronaryartery(PCA),weanalysedthedataofclinicalandcoronaryarteriographyofcoronaryhearddeaseinrecentyearsMethods:Accordingtotheresultsofcoronaryarteriographyofthepatientfrom2002to2006,allpatientsweredividedintotwogroupsrsinglecoronaryarterysle
4、notsisgroupandmulti-coronaryarterystenotsisgroupThenweexaminedthedifferenceofprevalenceratebetweenRCAandleftcoronaryartery(LCA)Atlast,weusedthestatisticswayofchisquaretesttoconcludetheprevalencerateclinicalcharacterofRCAstenosiscomparedwithLCAResults:Asfarastheprevalencer
5、ateareconcerned,inthegroupofmulti-coronaryarterystenotsis,thereisondifferencebetweenRCAandLCAHowever,inthegroupofsinglecoronaryarterystenotsis,prevalencerateofRCAislessthanthatofLCAConclusion:BecauseofthedifferenceofphysiologyandanatomybetweenLCAandRCA,thestenotsisofRCAse
6、ldonreducemyocardialischemiaorsyndromeofmyocardialischemiaSowemayconcludedthat,besideofthelowprevalencerateofRCA,someofRCAstenotsismaynotbefound・Author′saddress:AffiliatedhospitalofZunyiMedicalCollage,Zunyi,Guizhou,563003,ChinaKeywords:StenosisofrightcoronaryarteryP
7、hysiologyandanatonyLowsyndromeofmyocardialischemiaLowfindingrate1资料与方法11—般资料349患者中，男220例，女120例，年龄45〜79,平均(56±25)岁。所冇患者均冇心肌缺血症状如胸痛，或类似心肌缺血症[1],如胸闷，胸憋、极度乏力等，出现症状时间半个月至14年不等，均有行冠脉造影(CoronaryArteriography,CAG)检查，确诊为冠心病。稳定型心绞痛122例，不稳定型心绞痛171例，陈旧性心梗56例。单支病变组155例，多支冠脉病变组199例，其中三
8、支病变99例，右冠(RCA)和前降支(LAD)54例，RCA和冋旋支(LCX)14例，LAD和LCX32例。12入选标准(1)根据临床症状、心电图、心彩超和CAG等特征均符合WHO和国际心脏病
