冠心病患者首次PTCA后发生再狭窄的危险因素分析  

Analysis on the risk factors of coronary artery restenosis in CAD patients after PTCA

作　　者：李河 郭兰[1] 孙家珍[1] 冯建章[1] 汪萍[1] 吴桂兰[1] 余同珍[1] 叶彩英[1] 陈纪言[1] 周颖玲[1] 张国林[1] 刘智[1] 

机构地区：[1]广东省心血管病研究所心内科,广东广州510100

出　　处：《心血管康复医学杂志》2001年第6期483-485,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探讨 PTCA后再狭窄的危险因素 ,为防治 PTCA后再狭窄提供依据。方法 :对 70例患者 PTCA的一般情况、 PTCA有关数据 ,采用 SPSS 10 .0软件进行分析。结果 :再狭窄率为 2 5 .7% (18/70 )。 L ogistic回归结果显示大量喝酒、糖尿病、缺少运动是再狭窄发生的危险因素 ,其相对危险度分别为 18.12 2 ,7.5 2 8,4.90 6。首次 PTCA时低年龄、男性相对容易发生再狭窄。结论 :PTCA患者 (尤其是男性 )不宜嗜酒 ,应控制血糖 。Objective:To explore the risk factors of coronary artery restenosis in coronary artery disease(CAD) patients after percutaneous transluminal coronary angioplasty(PTCA), so to supply the evidences for prevention/treatment restenosis.Methods:Seventy CAD patients after PTCA were randomly selected.The data of the subjects was collected, the time of the first/second PTCA was recorded and all of the data were input to database.SPSS 10 0 was used for analysis.Results:The restenosis rate was 25 7%(18/70). Results of logistic regressive analysis showed that the risk factors of the restenosis were too much alcohol intake,diabetes and lack of exercise, the OR were 18 122, 7 528, 4 906 respectively.The results also indicated that lower age for the first PTCA and male were more likely suffering from restenosis after PTCA.Conclusion:Results suggests that CAD patients with diabetes should control the blood sugar, do exercise more actively and do not drink too much alcoho early after PTCA. Males should pay more attention to prevent restenosis.

关 键 词：冠心病 经皮腔内冠状动脉成形术 再狭窄 PTCA 

分 类 号：R654.2[医药卫生—外科学] R541.4[医药卫生—临床医学]