Selvester QRS评分阳性在稳定性冠心病患者治疗和预后中的应用价值分析  

Application value of positive Selvester QRS score in the treatment and prognosis of patients with stable coronary artery disease

作　　者：蒋菲 庆祖翠 韩静[1] JIANG Fei;QING Zu-cui;HAN Jing(Rehabilitation Treatment Department,Jiangsu Province Hospital of Chinese Medicine Zhongshan Branch,Nanjing,Jiangsu,210014,China)

机构地区：[1]江苏省中医院钟山院区康疗科,江苏南京210014 [2]江苏省中医院钟山院区健康管理中心,江苏南京210014

出　　处：《心血管康复医学杂志》2025年第2期232-236,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究Selvester QRS评分阳性在稳定性冠心病(SCAD)患者治疗和预后中的应用价值。方法:选择2021年1月至2023年1月期间江苏省中医院收治的101例SCAD患者,对患者行6~12个月的随访。另选择同期于本院接受体检的健康人群100例作为对照组。所有患者均行经皮冠状动脉介入治疗(PCI)治疗,采用标准12导联心电图进行检查并分析Selvester QRS评分阳性(≥1分)情况。根据冠脉造影检查结果将SCAD患者分为PCI成功组(n=65)和PCI失败组(n=36);根据患者预后情况分为预后良好组(n=60)和预后不良组(n=41)。对比上述各组Selvester QRS评分阳性比例;分析SCAD患者预后不良的影响因素。结果:与对照组比较,SCAD组Selvester QRS评分阳性率(24.75%比3.00%)显著升高(P<0.001);与PCI成功组比较,PCI失败组Selvester QRS评分阳性率(55.56%比7.69%)显著升高(P<0.001);与预后良好组比较,预后不良组年龄>60岁占比(56.10%比25.00%)、糖尿病史比例(36.59%比13.33%)和Selvester QRS评分阳性率(43.90%比11.67%)显著升高(P均<0.01)。多因素Logistic回归分析结果表明,年龄>60岁、有糖尿病史、Selvester QRS评分阳性是SCAD患者PCI术后预后不良的独立危险因素(OR=3.368~3.961,P<0.05或<0.01)。结论:PCI术后失败组Selvester QRS评分阳性率显著高于PCI成功组,且Selvester QRS评分阳性与PCI术后SCAD患者预后不良存在密切联系,可作为评估SCAD患者临床治疗和预后检测的重要检测指标。Objective:To explore the application value of positive Selvester QRS score in the treatment and prognosis of patients with stable coronary artery disease(SCAD).Methods:A total of 101 SCAD patients admitted in Jiangsu Province Hospital of Chinese Medicine between January 2021 and January 2023 were enrolled.The patients were followed up for 6 to 12 months.Another 100 healthy people who received physical examination in our hospital simultaneously were selected as the control group.All patients underwent percutaneous coronary intervention(PCI)and were examined using standard 12-lead ECG and analyzed for positive Selvester QRS score(≥1point).SCAD patients were divided into PCI success group(n=65)and PCI failure group(n=36)according to the results of coronary angiography.According to prognosis,the patients were divided into favorable outcome group(n=60)and unfavorable outcome group(n=41).The percentage of positive Selvester QRS score were compared among above-mentioned groups.Influencing factors for unfavorable outcome in SCAD patients were analyzed.Results:Compared with participants in control group,those in the SCAD group had significant higher Selvester QRS score positive rate(24.75%vs.3.00%,P<0.001);Compared with patients in PCI success group,those in the PCI failure group had significant higher Selvester QRS score positive rate(55.56%vs.7.69%,P<0.001);Compared with those in favorable outcome group,those in unfavorable outcome group had significant higher proportions of age>60 years(56.10%vs.25.00%),diabetes history(36.59%vs.13.33%)and Selvester QRS score positiverate(43.90%vs.11.67%)(P<0.01 all).Multivariate Logistic regression analysis showed that age>60 years old,history of diabetes and positive Selvester QRS score were independent risk factors for the unfavorable outcome of SCAD patients after PCI(OR=3.368~3.961,P<0.05 or<0.01).Conclusion:The positive rate of Selvester QRS score in PCI failure group is significantly higher than that in PCI success group,and positive Selvester QRS score is closely associated w

关 键 词：冠心病 预后 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]