中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
108-110,111
,共4页
经皮冠状动脉介入治疗%冠心病%复发%危险因素
經皮冠狀動脈介入治療%冠心病%複髮%危險因素
경피관상동맥개입치료%관심병%복발%위험인소
Percutaneous coronary intervention%Coronary heart disease%Recrudescence%Risk factors
目的:探究影响经皮冠状动脉介入治疗冠心病后复发的危险因素。方法:选取2011年5月-2014年2月来本院行经皮冠状动脉介入治疗的冠心病患者125例,有5例失访,最终纳入120例。收集并整理其病历资料和术后出院后定期电话随访或定期复查的资料,包括患者的基本资料、生活方式、抑郁评价和生存资料。结果:有高血压病史、运动量<30 min/d、有糖尿病史、抑郁程度较重的患者1年复发率高(P<0.05);有高血压病史、运动<30 min/d、有糖尿病史、重度抑郁是影响PCI治疗冠心病后复发的危险因素,其中有高血压病史的危险程度最大(OR=3.575,95%CI=1.446~8.842),其他三个危险因素的危险程度由高到低为运动<30 min/d(OR=3.347,95%CI=1.424~7.866)、重度抑郁(OR=2.824,95%CI=1.578~5.054)、有糖尿病史(OR=2.356,95%CI=1.246~4.455)。结论:有高血压病史、运动<30min/d、有糖尿病史、重度抑郁是影响PCI治疗冠心病后复发的危险因素。
目的:探究影響經皮冠狀動脈介入治療冠心病後複髮的危險因素。方法:選取2011年5月-2014年2月來本院行經皮冠狀動脈介入治療的冠心病患者125例,有5例失訪,最終納入120例。收集併整理其病歷資料和術後齣院後定期電話隨訪或定期複查的資料,包括患者的基本資料、生活方式、抑鬱評價和生存資料。結果:有高血壓病史、運動量<30 min/d、有糖尿病史、抑鬱程度較重的患者1年複髮率高(P<0.05);有高血壓病史、運動<30 min/d、有糖尿病史、重度抑鬱是影響PCI治療冠心病後複髮的危險因素,其中有高血壓病史的危險程度最大(OR=3.575,95%CI=1.446~8.842),其他三箇危險因素的危險程度由高到低為運動<30 min/d(OR=3.347,95%CI=1.424~7.866)、重度抑鬱(OR=2.824,95%CI=1.578~5.054)、有糖尿病史(OR=2.356,95%CI=1.246~4.455)。結論:有高血壓病史、運動<30min/d、有糖尿病史、重度抑鬱是影響PCI治療冠心病後複髮的危險因素。
목적:탐구영향경피관상동맥개입치료관심병후복발적위험인소。방법:선취2011년5월-2014년2월래본원행경피관상동맥개입치료적관심병환자125례,유5례실방,최종납입120례。수집병정리기병력자료화술후출원후정기전화수방혹정기복사적자료,포괄환자적기본자료、생활방식、억욱평개화생존자료。결과:유고혈압병사、운동량<30 min/d、유당뇨병사、억욱정도교중적환자1년복발솔고(P<0.05);유고혈압병사、운동<30 min/d、유당뇨병사、중도억욱시영향PCI치료관심병후복발적위험인소,기중유고혈압병사적위험정도최대(OR=3.575,95%CI=1.446~8.842),기타삼개위험인소적위험정도유고도저위운동<30 min/d(OR=3.347,95%CI=1.424~7.866)、중도억욱(OR=2.824,95%CI=1.578~5.054)、유당뇨병사(OR=2.356,95%CI=1.246~4.455)。결론:유고혈압병사、운동<30min/d、유당뇨병사、중도억욱시영향PCI치료관심병후복발적위험인소。
Objective:To explore recrudescence risk factors analysis of percutaneous coronary intervention in patients with coronary heart disease. Method:125 patients with coronary heart disease treated by percutaneous coronary intervention from May 2011 to February 2014 were selected and 120 patients were in because of 5 patients lost of follow up. Their medical records,regular telephone follow-up after operation and discharge and periodically review data were collected and arranged,including their basic information,mode of life,depression evaluation and survival data. Result:Patients with hypertension history,exercise time less than 30 min every day,diabetes mellitus history,heavy depression had higher 1 year recurrence rate(P<0.05). Hypertension history,exercise time less than 30 min every day,diabetes mellitus history,heavy depression were risk factors of percutaneous coronary intervention in patients with coronary heart disease and hypertension history had the maximum degree of risk(OR=3.575, 95%CI=1.446-8.842). The criticality of other risk factors from high to low were exercise time less than 30 min every day (OR=3.347,95%CI=1.424-7.866),heavy depression(OR=2.824,95%CI=1.578-5.054),diabetes mellitus history (OR=2.356,95%CI=1.246-4.455). Conclusion:Hypertension history,exercise time less than 30 min every day, diabetes mellitus history,heavy depression are risk factors of percutaneous coronary intervention in patients with coronary heart disease.