危险因素和血运重建治疗对冠心病预后的影响  

The Effect of Risk Factors and Revascularization on Long-Term Outcome in Patients with Coronary Heart Disease

作　　者：何奇明[1] 仝其广 

机构地区：[1]北京大学首钢医院,北京100041 [2]煤炭总医院心脏中心,北京100028

出　　处：《中国医药导刊》2007年第3期197-199,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:研究影响冠心病(CHD)患者长期预后的因素。方法:采用病例调查方法,选择398例CHD患者进行随访观察。结果:(1)随访17个月内出现和未出现心脏不良事件患者之间基线血脂和炎症因子水平无统计学差异。(2)CABG减少术后17个月内心绞痛的复发和血运重建术需求,PCI术则未见改善心血管患者预后。结论:基线脂质和炎症因素不能预测心脏不良事件的发生;CABG是CHD心脏不良事件的负性预测因子。Objective： To investigate the effect of lipid, inflammation and revascluarization on long - term outcome of coronary heart disease .Methods： This was a case follow - up study, which enrolled 398 cases with CHD between 2001 and 2003,and followed up 17 months for patients with coronary heart diseases. Results： （1） After 17 months follow - up, for patients with or without cardiovascular events, there were not significant difference between baseline hpid and inflammation markers. （2） In patients with CABG, not for PCI, there were less angiopectoris and request for revascularization. Condusion： Baseline level of lipid and inflammation markers did not predict the severity of coronary stenesis or long - term outcome of patients ; CABG was inverse factor for predicting cardiac events.

关 键 词：冠心病 脂质因素 炎症指标 心血管事件 

分 类 号：R541.4[医药卫生—心血管疾病]