冠心病血运重建患者发生不良心脑血管事件的影响因素  

Influential Factors of Adverse Cardiovascular and Cerebrovascular Events in Patients with Coronary Heart Disease Revascularization

作　　者：印婷婷[1] 约尔古丽·玉素甫阿吉 祖克拉·吐尔洪 彭伊[1] YIN Ting-ting;Yolguli Yusufagi;Zukra Turhon;PENG Yi(Heart Center,Department of Cardiac Function,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China;Department of Cardiac Pacing and Electrophysiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院心脏中心心功能科,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院心脏起搏与电生理科,新疆乌鲁木齐830054

出　　处：《医学信息》2021年第16期140-142,共3页Journal of Medical Information

摘　　要：目的探讨冠心病血运重建患者发生不良心脑血管事件的影响因素。方法回顾性分析2012年7月~2014年7月在新疆医科大学第一附属医院接受血运重建治疗的613例冠心病患者临床资料,术后随访5年,以术后是否发生MACCE分为两组,比较两组临床因素,并采用多因素Logistic回归分析冠心病患者血运重建治疗术后发生MACCE的独立预测因素。结果613例冠心病患者在5年的随访期间内发生MACCE 135例(22.02%),未发生MACCE 478例(77.98%)。单因素分析显示,两组年龄、空腹血糖、糖耐量异常、代谢综合征比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄和代谢综合征对冠心病患者血运重建治疗术后发生MACCE有显著性影响,其OR值分别为1.252和2.835。结论冠心病血运重建患者的年龄和代谢综合征与发生MACCE密切相关,其可以预测冠心病患者的不良预后。Objective To investigate the influencing factors of adverse cardiovascular and cerebrovascular events in patients with coronary heart disease revascularization.Methods A retrospective analysis of the clinical data of 613 patients with coronary heart disease who received revascularization treatment in the First Affiliated Hospital of Xinjiang Medical University from July 2012 to July 2014.After a 5-year follow-up,the two groups were divided into two groups based on whether MACCE occurred after the operation.The clinical factors of the two groups were compared,and multivariate Logistic regression was used to analyze the independent predictors of MACCE after revascularization treatment in patients with coronary heart disease.Results During the 5-year follow-up period of 613 patients with coronary heart disease,135 cases(22.02%)had MACCE,and 478 cases(77.98%)did not have MACCE.Univariate analysis showed that there were statistically significant differences between the two groups in age,fasting blood glucose,impaired glucose tolerance,and metabolic syndrome(P<0.05);Multivariate Logistic regression analysis showed that age and metabolic syndrome had a significant impact on the occurrence of MACCE after revascularization in patients with coronary heart disease,and the OR values were 1.252 and 2.835,respectively.Conclusion The age and metabolic syndrome of patients with coronary heart disease revascularization are closely related to the occurrence of MACCE,which can predict the poor prognosis of patients with coronary heart disease.

关 键 词：冠心病 血运重建 代谢综合征 主要不良心血管事件 

分 类 号：R541.4[医药卫生—心血管疾病]