【摘要】 目的 通过测量颈动脉IMT值、斑块以及动脉硬化危险因素来明确颈动脉硬化结合危险因素对冠心病病变的预测。 方法 对47例患者均行冠状动脉造影以明确冠状动脉病变程度，同时做颈动脉超声测定颈动脉IMT值及硬化斑块，并测定动脉硬化有关危险因素。 结果 用动脉硬化危险因素及IMT、颈动脉斑块积分为自变量，对因变量冠状动脉病变支数作逐步判断，得出判别函数，并进行回顾性考核，对冠状动脉病变的错判率零支病变为5.9%，1支病变为25%，多支病变为7.1%。 结论 颈动脉硬化结合危险因素对冠状动脉硬化有一定的预测性。

    关键词 冠心病 颈动脉硬化 危险因素 预测

    The prediction on coronary heart disease by carotid arerial atherosclerosis combined with risk factors

    Liu Yanyang，Zhang Shixin，Meng Qinyu

    Cardiology Dapartment，the affiliated hospital of Inner Mongolia Medical college Hohhot Inner Mongolia，010050.

    【Abstract】 Objective To evaluate The predicted value of carotid arterial atherosclerosis(CAS)combined with risk factors to coronary heart disease(CAD)by the measurement of intimal-medial thickness，plaques and risk factors.Methods Coronary arteriography was performed in47patients to see the extent of cornoary atherosclerosis ......