摘要
目的探讨导致冠状动脉支架术后再狭窄发生的相关危险因素。方法收集石景山医院2011～2012年收治的143例行冠状动脉支架术的患者资料,根据术后复查直径狭窄是否>50%,将患者分为再狭窄组45例和无狭窄组98例。将可能导致再狭窄的可疑因素进行χ2检验,比较组各因素在两组间是否存在差异,以找出可能的危险因素。结果以60岁为界限,将冠状动脉支架术后再狭窄组与非狭窄组比较,两组患者的发病年龄、合并高血压、糖尿病病症、支架个数、低密度脂蛋白水平、高密度脂蛋白水平、是否吸烟、是否按时服药等因素差异存在统计学意义(P<0.05),甘油三酯和胆固醇水平、支架长度和支架直径比较差异没有统计学意义(P>0.05)。结论冠状动脉支架术作为冠心病患者的有效治疗手段具有一定的临床价值,但对可能导致再狭窄的因素应该给予尽量多的关注与预防。
Objective To explore the relevant factors of restenosis after the coronary stenting. Methods The clinical data of 143 cases with restenosis after the coronary stenting from 2011 to 2012 in our hospital were analyzed retrospectively. All patients were divided into restenosis group（45 cases） that the diameters of restenosis was larger than 50% and non- restenosis（98 cases） that the diameters of stenosis were not larger than 50%. The risk factors that may lead to a restenosis were analyzed with Chi square test to compare the difference. Results The differences between two groups in age, hypertension, diabetes, low-density lip- oprotein and high-density lipoprotein, smoking and regular taking medication were statistically significance （P 〈 0.05 ）. There was no obvious differences in triglyceride, cholesterol, length and diameter of stents （ P 〈 0.05 ）. Conclusion Coronary artery stenting is an effective method for the treatment of patients with coronary. But more attentions and prevention should pay on the risk factors of restenosis.
出处
《中华全科医学》
2013年第1期44-46,共3页
Chinese Journal of General Practice
关键词
冠状动脉支架术
狭窄
因素
Coronary artery stents placement
Stenosis
Factor
