摘要
目的减少冠脉支架置入(PCI)术后患者心脏不良事件发生率。方法收集2009年2～11月哈尔滨市某三甲医院行冠脉支架植入术患者582例,术后随访2年,观察患者心脏不良事件的发生情况及影响因素。结果495例完成2年随访,共有136例(27.47%)发生心脏不良事件,其中心绞痛复发55例(21例发生于术后6个月内),其他心脏不良事件集中于术后12～18个月。影响心脏不良事件发生时间的主要因素有吸烟、收缩压、空腹血糖、低密度脂蛋白、高密度脂蛋白。结论PCI术后可根据不同心脏不良事件发生的时间段对患者的危险因素进行针对性干预,以减少心脏不良事件的发生。
Objective To reduce incidence of adverse cardiac events after percutaneous coronary intervention（PCI）. Methods To investigate incidence of adverse cardiac events and its influencing factors,582 participants who received PCI were selected from a tertiary hospital of Harbin city from February to November 2009 and were subjected to a two-year follow-up program. Results A total of 495 patients completed the follow-up program,and 136（27.47%） patients suffered adverse cardiac events,55 of whom had recurrence of angina pectoris（21 of them had it within postoperative 6 months）,while the other cardiac events mainly occurred between postoperative 12 and 18 months.The main associated factors affecting occurrence time of adverse cardiac events were smo-king,systolic blood pressure,fasting blood glucose,LDL-C and HDL-C. Conclusion To reduce incidence of adverse cardiac events after PCI,measures targeted on risk factors should be taken according to occurrence time of these events.
关键词
经皮冠状动脉介入治疗
心脏不良事件
时间分布
影响因素
percutaneous coronary intervention
adverse cardiac events
time distribution
influencing factors
