中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
4期
24-26
,共3页
不稳定性心绞痛%预后%影响因素
不穩定性心絞痛%預後%影響因素
불은정성심교통%예후%영향인소
Unstable angina pectoris%Prognosis%Influence factor
目的 探讨不稳定性心绞痛患者远期预后的影响因素.方法 采用回顾性分析总结我院2001-2007年间92例不稳定性心绞痛患者的临床资料,依据患者静息心电图,连续24 h动态心电图,超声心动图及冠状动脉造影检查结果及患者的年龄、性别、吸烟、饮酒与否、室性心律失常的发生、危险度分层对远期预后的影响关系进行分析.结果 左室射血分数(LVEF)低于45%的患者较高于45%的患者病死率高(P<0.01),左冠状动脉主干病变的患者病死率远大于左前降支病变的患者(P<0.01),年龄60岁以上的患者较60岁以下的患者病死率高(P<0.05),女性患者较男性患者病死率高(P<0.05),吸烟患者较不吸烟患者病死率高(P<0.05),饮酒患者较不饮酒患者病死率无明显差异(P>0.05),入院时心率大于90次/min的患者较心率小于90次/min的患者病死率高(P<0.05),发生复杂型室性期前收缩患者病死率较无复杂型室性期前收缩患者病死率有明显意义(P<0.01),高危组患者死亡率较低危组患者死亡率明显增加(P<0.05).结论 左心室功能,冠状动脉病变部位和范围、年龄、性别、吸烟、复杂型心律失常、危险度分层均是影响不稳定性心绞痛的远期预后因素.
目的 探討不穩定性心絞痛患者遠期預後的影響因素.方法 採用迴顧性分析總結我院2001-2007年間92例不穩定性心絞痛患者的臨床資料,依據患者靜息心電圖,連續24 h動態心電圖,超聲心動圖及冠狀動脈造影檢查結果及患者的年齡、性彆、吸煙、飲酒與否、室性心律失常的髮生、危險度分層對遠期預後的影響關繫進行分析.結果 左室射血分數(LVEF)低于45%的患者較高于45%的患者病死率高(P<0.01),左冠狀動脈主榦病變的患者病死率遠大于左前降支病變的患者(P<0.01),年齡60歲以上的患者較60歲以下的患者病死率高(P<0.05),女性患者較男性患者病死率高(P<0.05),吸煙患者較不吸煙患者病死率高(P<0.05),飲酒患者較不飲酒患者病死率無明顯差異(P>0.05),入院時心率大于90次/min的患者較心率小于90次/min的患者病死率高(P<0.05),髮生複雜型室性期前收縮患者病死率較無複雜型室性期前收縮患者病死率有明顯意義(P<0.01),高危組患者死亡率較低危組患者死亡率明顯增加(P<0.05).結論 左心室功能,冠狀動脈病變部位和範圍、年齡、性彆、吸煙、複雜型心律失常、危險度分層均是影響不穩定性心絞痛的遠期預後因素.
목적 탐토불은정성심교통환자원기예후적영향인소.방법 채용회고성분석총결아원2001-2007년간92례불은정성심교통환자적림상자료,의거환자정식심전도,련속24 h동태심전도,초성심동도급관상동맥조영검사결과급환자적년령、성별、흡연、음주여부、실성심률실상적발생、위험도분층대원기예후적영향관계진행분석.결과 좌실사혈분수(LVEF)저우45%적환자교고우45%적환자병사솔고(P<0.01),좌관상동맥주간병변적환자병사솔원대우좌전강지병변적환자(P<0.01),년령60세이상적환자교60세이하적환자병사솔고(P<0.05),녀성환자교남성환자병사솔고(P<0.05),흡연환자교불흡연환자병사솔고(P<0.05),음주환자교불음주환자병사솔무명현차이(P>0.05),입원시심솔대우90차/min적환자교심솔소우90차/min적환자병사솔고(P<0.05),발생복잡형실성기전수축환자병사솔교무복잡형실성기전수축환자병사솔유명현의의(P<0.01),고위조환자사망솔교저위조환자사망솔명현증가(P<0.05).결론 좌심실공능,관상동맥병변부위화범위、년령、성별、흡연、복잡형심률실상、위험도분층균시영향불은정성심교통적원기예후인소.
Objective Discussion influence unstable angina pectoris patients forward prognosis factor.Methods Uses the review analysis to summarize my courtyard during for 2001-2007 year 92 example unstable angina pectoris patients' clinical material,ceases activity the electrocardiogram based on the patients,the con-tinual 24 hours dynamic electrocardiograms,the eehoeardiogram and the coronary artery radiography inspection result and patients' age, the sex, smoking, drink wine or not, the room arrythmia occurrence, the risk factor lami-nation carry on the analysis to the forward prognosis influence relations. Results The left room shoots the men-struation number(LVEF) , Being lower than 45% the patient to compare higher than 45% The patient case fatali-ty rate is high(P<0.01) ,the left coronary artery branch pathological change patient case fatality rate far is big-ger than the patient who left front falls a pathological change (P<0.01) , the age 60 year old of above patient compares 60 year old of following patient case fatality rates high (P<0.05) , the feminine patient compares the masculine patient case fatality rate high (P<0.05) ,the smoking patient to compare does not smoke the patient case fatality rate high (P<0.05) , drinks wine the patient to compare does not drink wine the patient case fatali-ty rate not obvious difference (P＞0.05) ,when in hospital the heart rate is bigger than 90 time/rain the patientcompares the heart rate to be smaller than 90 time/rain patient case fatality rates high (p<0.05). Has the complicated shape room the premature beat patient case fatality rate not to have the complicated shape room the premature beat patient case fatality rate to have the obvious significance (P<0.01), the high-risk group patient mortality rate low danger group patient mortality rate increases obviously (P<0.01). Conclusion The left ventricle function, the coronary artery pathological change spot and the scope, the age, the sex, smoking, the com-plicated shape arrythmia, the risk factor lamination is affects the unstable angina pectoris the forward prognosis factor.
