不同类型冠心病患者冠脉病变复杂程度的影响因素

发布时间：2018-11-11 12:17

【摘要】：目的探究不同类型冠心病患者冠脉病变复杂程度的影响因素。方法回顾性研究分析2016年1~4月就诊于吉林大学第一医院心血管诊疗中心经冠脉造影检查明确冠心病诊断的患者共344例,其中急性ST段抬高型心肌梗死87例设为实验组,其余257例冠心病患者设为对照组(包括稳定型心绞痛、不稳定型心绞痛、急性非ST段抬高型心肌梗死),在实验组、对照组中分别根据冠脉造影结果计算SYNTAX评分,根据评分数值分为低危组(1~22分)、中高危组(≥23分)两个亚组。各组均记录入院时的一般资料(包括性别、年龄、吸烟史、高血压病史、糖尿病史)、实验室相关检验(包括血脂、肝功、肌酐、血常规、空腹血糖等),对比各组相关资料的差异。结果与对照组比较,实验组患者WBC、Neut、GLU、Cr、ALT、AST、LDL水平明显高于对照组,两组差异具有统计学意义(P0.05);多因素Logistic分析显示,高Neut水平、高AST水平是发生急性ST段抬高型心肌梗死的独立危险因素(P0.05)。对照组亚组间比较,中高危组患者既往有高血压病史、糖尿病史的比例明显高于低危组,两组比较存在统计学差异(P0.05);并且两者均为对照组亚组中病变程度中的独立危险因素(P0.05)。结论高Neut水平、高AST水平可以预测冠心病患者发生急性ST段抬高型心肌梗死,既往高血压病史、糖尿病病史是稳定型心绞痛、不稳定型心绞痛、急性非ST段抬高型心肌梗死冠脉病变程度加重的独立危险因素。
[Abstract]:Objective to investigate the influencing factors of coronary artery disease complexity in patients with different types of coronary heart disease. Methods A total of 344 patients with coronary artery disease diagnosed by coronary angiography in the Cardiovascular Center of the first Hospital of Jilin University from January to April 2016 were analyzed retrospectively. Among them, 87 patients with acute ST segment elevation myocardial infarction were set up as experimental group. The remaining 257 coronary heart disease patients were divided into control group (including stable angina pectoris, unstable angina pectoris, acute non-ST segment elevation myocardial infarction). SYNTAX scores were calculated in the experimental group and the control group according to the results of coronary angiography. The patients were divided into low risk group (1 ~ 22 points) and middle high risk group (鈮，

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