H型高血压与急性心肌梗死患者急诊经皮冠状动脉介入治疗术后支架内再狭窄的关系

发布时间：2018-03-27 13:20

本文选题：H型高血压　切入点：支架内再狭窄　出处：《实用医学杂志》2016年01期

【摘要】：目的:探讨H型高血压与ST段抬高型心肌梗死(STEMI)患者接受急诊经皮冠状动脉介入治疗(PCI)术后发生支架内再狭窄(ISR)的关系。方法:收集因首次发生STEMI伴有高血压并接受急诊PCI术置入支架治疗的患者126例为研究对象,其中男68例,女58例,平均年龄(61.4±9.1)岁。术后24 h、3、6个月及1年复查时化验血同型半胱氨酸(Hcy),术后1年复查冠脉造影,以支架内径狭窄≥50%为再狭窄,分为再狭窄组(21例)和非再狭窄组(105例),比较两组随访期间Hcy水平变化及H型高血压患者比例:筛选支架再狭窄发生的危险因素。结果:支架再狭窄组H型高血压患者比例显著高于非再狭窄组(P0.05):H型高血压是支架内再狭窄的危险因素。结论:H型高血压与STEMI患者行急诊PCI术后再狭窄的发生可能相关。
[Abstract]:Objective: To investigate the effect of H type hypertension and ST elevation myocardial infarction (STEMI) patients undergoing emergency percutaneous coronary intervention (PCI) postoperative incidence of in stent restenosis (ISR) relationship. Methods: to collect for the first occurrence of STEMI with hypertension and underwent emergency PCI operation in support of 126 patients for treatment the object of study, male 68 cases, female 58 cases, average age (61.4 + 9.1) years old. After 24 h, to test the blood homocysteine 3,6 months and 1 year follow-up (Hcy), coronary angiography 1 years after surgery, with the diameter of stent stenosis 50% for restenosis, and then divided into stenosis group (21 cases) and non restenosis group (105 cases), the proportion between the two groups during the follow-up of Hcy levels and H in patients with hypertension: risk factors screening stent restenosis. Results: the proportion of stent restenosis group H patients with hypertension was significantly higher than that in non restenosis group (P0.05): H type hypertension is the in stent restenosis Conclusion: H type hypertension may be related to the occurrence of restenosis after emergency PCI operation in patients with STEMI.

【作者单位】：郑州大学附属洛阳中心医院心内科;郑州大学第一附属医院心内科;
【分类号】：R544.1;R542.22

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