不稳定型心绞痛患者GRACE和TIMI危险评分与冠状动脉病变的相关性  

Correlation between Coronary Artery Lesion and the Scores of GRACE and TIMI Risk in Patients with Unstable Angina Pectoris

作　　者：董蕾[1] 田颖[1] 陆锐[1] 张文超[1] 刘肆仁[1] 

机构地区：[1]北京市第六医院心内科,北京100007

出　　处：《中国医药导刊》2015年第9期887-888,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨不稳定型心绞痛患者GRACE评分和TIMI危险评分与冠状动脉病变的关系。方法：选取2012年11月~2013年9月在我科住院,冠脉造影显冠脉病变（狭窄≥50%）的不稳定型心绞痛的患者114例,对照组为冠脉造影阴性（狭窄〈50%）的患者102例。两组病人均计算Grace评分及TIMI评分,观察其与冠脉病变的相关性。结果：（1）GRACE评分：心绞痛组与对照组比较,单、双和三支病变组间比较,轻、中和重度病变组间比较,差异均有显著性（P〈0.05）;（2）TIMI评分：心绞痛组与对照组比较,单、双和三支病变组间比较,轻、中和重度病变组间比较,差异均有显著性（P〈0.05）。结论：GRACE和TIMI评分与冠脉病变的程度一致,均有较好的预测价值。Objective： Discussion on patients with unstable angina pectoris. The global registry of acute coronary events （GRACE） score and thrombolysis in myocardial infarction trial （TIMI） risk score and coronary artery disease.Methods：A total of hospitalized in our department from Nov 2012 to Sep 2013,coronary angiography show 114 patients of coronary lesions （stenosis≥50%） in unstable angina pectoris and 102 cases of patients with negative coronary angiography （stenosis 〈 50%） in the control group. Tile Grace score and TIM[ score were calculated in the two groups, and the correlation between them was observed.Results＇（1） GRACE score：compared with the control group, the patients with angina pectoris group and control group were compared with the control group,The difference was statistically significant （P〈0.05）;（2） TIMI score： compared with the control group, the difference was statistically significant （P-〈0.05）. Conclusion：Coronary artery disease and the scores of GRACE and TIM1 dangerous degree of consistency, and have good predictive value.

关 键 词：不稳定型心绞痛 GRACE评分 TIMI评分 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]