民航飞行员颈动脉斑块与冠状动脉粥样硬化程度的关系研究

打开文本图片集

Study on the correlation between carotid plaque and severity of coronary atherosclerosis in civil aviation pilots

LiXing，JiangWei，ZhuYe AviationHealthCentre，ChinaSouthernAirlines，Guangzhou51O4O6，China

【Abstract】 Objective To investigate the correlation between carotid plaque and severity of coronary atherosclerosis incivilaviationpilots，and toanalyze theeffct ofcarotidplaqueonthediagnosisofcoronary heart disease and medical authentication.MethodsAretrospective analysis was conducted on 6O civil aviation pilots who underwent coronary angiography（CAG）and carotid ultrasound within7days.The Crouse score was calculated based onthelesion found incarotid ultrasound，and the pilots were divided into6 groups based onthe results ofcoronary angiography.The Gensini score wascalculated to evaluatethe coronary arterylesion，and he diffrences in Gensini scores among the groups were compared.The sensitivityand specificityof carotid plaque in diagnosing coronary heart disease were calculated.ResultsFor pilots with diferent carotid Crouse scores，there were significant differences in coronary artery Gensini scores （ P <0.05）. The more severe carotid plaque was， the worst coronary atherosclerosis tends tobe.Based on the plaqueatthe carotid，thesensitivityand specificity of diagnosing coronary heart disease were 93.8%（45/48）and 50.0%（6/12），respectively. Conclusion There is a correlation between carotid plaque and the severity of coronary atherosclerosis.Carotid ultrasound can be used as asimpleand non-invasive testto assess the severityof coronary atherosclerosis anddirect medical authentication of pilots.

【Key words】Carotid stenosis；Coronary artery disease; Coronary disease；Pilots DOI：10.19522/j.cnki.1671-5098.2025.02.018

冠状动脉粥样硬化性心脏病（冠心病）主要是因为冠状动脉（冠脉）发生粥样硬化病变，导致血管管腔狭窄或闭塞，从而引发心肌缺血、缺氧或坏死。（剩余6512字）