冠心病预后影响因素分析  

The Analysis of Effective Factors to Long-term Outcome in Patients with Coronary Heart Disease

作　　者：刘翔[1] 柴晓利[1] 王国华[1] 邢祖忠[1] 丰庆春[1] 张臣[1] 

机构地区：[1]湖南省第二人民医院心内科,湖南长沙410007

出　　处：《医学临床研究》2007年第7期1123-1125,共3页Journal of Clinical Research

摘　　要：【目的】研究影响冠心病(CHD)患者预后的因素。【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冠脉旁路移植术(CABG)减少术后心绞痛的复发和血运重建术需求,冠脉介入治疗(PCI)术则未见改善心血管患者预后。【结论】未观察到基线脂质和炎症因素对心脏不良事件的预测作用;CABG是CHD心脏不良事件的负性预测因子。[Objective]To investigate the effect of lipid,inflammation on long-term outcome of coronary heart disease（CHD）.[Methods]This was case follow-up study,enrolled 398 cases with CHD between 2003 and 2006,and followed up for patients with coronary heart diseases.[Results]①After follow-up for patients with or without cardiovascular events,there was not significant difference between baseline lipid and inflammation markers.②In patients with CABG,not PCI,there were less angiopectoris and request for revascularization.[Conclusion]Baseline levels of lipid and inflammation markers do not predict long-term outcome of patients;CABG is inverse factor for predcting cardiac events.

关 键 词：冠状动脉疾病 预后 

分 类 号：R543.3[医药卫生—心血管疾病]