冠状动脉慢性完全闭塞患者的预后及其相关因素的分析  

Analysis of Prognosis and Relational Factors of Chronic Total Occlusion Patients

作　　者：张学虎[1] 何琳[1] 贾绍斌[1] 沙勇[1] 张金莉[1] 刘华[1] 曹禺[1] 冯婧[1] 

机构地区：[1]宁夏医科大学附属医院心内科,银川750004

出　　处：《医学研究杂志》2009年第8期62-64,共3页Journal of Medical Research

摘　　要：目的分析冠状动脉慢性完全闭塞(CTO)患者发生心血管事件及其相关因素之间的关系,为加强冠心病的二级预防提供更多的依据。方法随访CTO患者272例,根据是否发生心血管事件分为A组共167例(非事件组)和B组共105例(事件组)。分析其临床资料、冠脉病变程度及治疗情况并随访,用统计学方法处理数据,以P<0.05为差异有统计学意义。结果A、B两组间,LDL-C、EF、Gensini评分、病变支数、闭塞支数及成功PCI间差异有统计学意义,P<0.05;经条件Logist回归分析得出Gensini评分与发生心血管事件呈独立相关性(P=0.01)。结论Gensini评分对CTO患者发生心血管事件有较好的预测价值。Objective This retrospective study is designed to analyze the cardiovascular events of CTO to provide new information on secondary prevention of CHD in patients after hospital discharge. Methods 272 patients with definite diagnosis of CTO were enrolled in this study. Patients were divided into two groups according to whether suffering from cardiovascular events, with 167 patients in group A who had not suffered from the cardiovascular events and 105 patients in group B who had suffered from the cardiovascular events. We compared the clinical data, severity of coronary artery lesion, treatment in two groups. Results Between two groups, there was statistic significance in LDL - C, EF, Gensini scots, the number of coronary artery lesion, the number of chronic total coronary occlusion and PCI success. Logistic regression analysis revealed that Gensini scors was the independent factors for prognosis of CTO. Conclusion Gensini scors was the independent factor for prognosis of CTO.

关 键 词：冠状动脉慢性完全闭塞病变 心血管事件 相关因素 

分 类 号：R541.405[医药卫生—心血管疾病] R541.4[医药卫生—内科学]