冠心病患者接受冠脉支架介入治疗的预后及影响因素分析

杨鲲

（武警陕西省总队医院，陕西 西安，710054）

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摘要：

目的 分析冠心病患者在接受冠脉支架介入治疗的预后及其影响因素。方法 选择我院行冠脉支架介入治疗成功的300例冠心病患者为研究对象，对患者进行为期3年的随访并对其临床资料进行回顾性分析。结果 300例患者中，有12 例患者随访失败，随访成功率为96.00%；288例随访成功的患者中，不良心脏事件发生率为35.76%。单因素分析显示：年龄、家族史、糖尿病史、高血压史、吸烟史、支架数目、病变血管支数均是引发不良心脏事件发生的相关因素；多因素分析显示年龄 [OR=1.103，95%CI（0.329，1.427）]、家族史[OR=0.702，95%CI（0.702，1.673）]、糖尿病史[OR=1.527，95%CI（0.903，2.847）]、高血压史[OR=1.623，95%CI（0.311，1.462）]、吸烟史[OR=1.186，95%CI（1.024，6.452）]、支架数目[OR=1.179，95%CI（1.452，4.231）]、病变血管支数[OR=1.180，95%CI（1.035，7.237）]均是引发不良心脏事件发生的独立预测因子（P<0.05）。结论 掌握影响冠脉支 架介入治疗预后效果的相关因素，对可控危险因素及时采取相应的干预措施，有助于改善预后，提高患者的生活质量。
 

关键词：冠心病；冠脉支架介入治疗；不良心脏事件

中图分类号：R541.4 文献标志码：A文章编号：2096-1413(2018)01-0010-02

Prognosis and influencing factors of patients with coronary heart disease receiving coronary intervention
YANG Kun
(General Hospital of Armed Police Shaanxi Provincial Corps, Xi``an 710054, China)

ABSTRACT: Objective To analyze the prognosis and influencing factors of coronary artery disease patients receiving coronary intervention. Methods Three hundred patients with coronary heart disease who underwent PCI in our hospital were included in the study. The patients were followed up for 3 years, and the clinical data were retrospectively analyzed. Results In the 300 patients, 12 cases failed to follow up, the success rate of follow-up was 96.00%; and 288 patients followed up successfully, the incidence of adverse cardiac events was 35.76%. Univariate analysis revealed that age, family history, history of diabetes, history of hypertension, history of smoking, number of stents and number of diseased vessels were all associated with adverse cardiac events. Multivariate analysis showed that age [OR=1.103, 95%CI (0.329, 1.427)], family history [OR= 0.702, 95%CI (0.702, 1.673)], history of diabetes [OR=1.527, 95%CI (0.903, 2.847)], history of hypertension [OR=1.623, 95%CI (0.311, 1.462)], smoking history [OR=1.186, 95%CI (1.024, 6.452)], number of stents [OR=1.179, 95%CI (1.452,4.231)], number of diseased vessels [OR=1.180, 95%CI (1.035, 7.237)] were independent predictors of adverse cardiac events (P<0.05). Conclusion To master the factors of influencing the prognosis of coronary stent and to timely take appropriate interventions on the controllable risk factors, it can help to improve the prognosis and improve the quality for the life for the patients.

KEYWORDS: coronary heart disease; coronary stent intervention; adverse cardiac events

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