摘要
目的：探讨心房纤颤对经皮冠状动脉成形术患者住院期间主要心脑血管事件发生的影响。方法：行经皮冠状动脉成形术治疗的冠心病患者210例,分为窦性心律组110例和心房纤颤组100例,采用COX回归分析心房纤颤对经皮冠状动脉成形术患者住院期间主要心脑血管事件的影响。结果：心房纤颤组患者住院期间主要心脑血管事件的发生率与窦性心律组比较未见明显增加（P〉0.05）,多因素COX回归分析显示心房纤颤组与窦性心律组比较,经皮冠状动脉成形术患者住院期间总主要心脑血管事件风险RR值为0.648（95%CI 0.569-1.313,P=0.330）。结论：心房纤颤未增加经皮冠状动脉成形术患者住院期间主要心脑血管事件的发生率。
Objective To investigate the influence of atrial fibrillation on in-hospital major adverse cardiac and cerebrovascular events after percutaneous coronary intervention.Methods Two hundred and ten patients receiving percutaneous coronary intervention were divided into sinus rhythm group（n=110） and atrial fibrillation group（n=110）.Cox multivariate regression analysis was performed to study the influence of atrial fibrillation on major adverse cardiac and cerebrovascular events.Results Atrial fibrillation did not increase the risk for in-hospital major adverse cardiac and cerebrovascular events（P〉0.05）.Compared with sinus rhythm group,the relative risk value for in-hospital major adverse cardiac and cerebrovascular events was 0.648 in atrial fibrillation group（95% CI 0.569~1.313,P=0.330）.Conclusion Atrial fibrillation does not increase the incidence of in-hospital major adverse cardiac and cerebrovascular events after percutaneous coronary intervention.
出处
《中华实用诊断与治疗杂志》
2010年第6期572-573,576,共3页
Journal of Chinese Practical Diagnosis and Therapy
关键词
心房纤颤
经皮冠状动脉成形术
主要心脑血管事件
Atrial fibrillation
percutaneous coronary intervention
major adverse cardiac and cerebrovascular events
