中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2012年
10期
1297-1299
,共3页
艾民%张清华%颜昌福%夏福纯%周双陆%贺剑%顾定平%付国齐%张宽%江军%李涛%杨景美
艾民%張清華%顏昌福%夏福純%週雙陸%賀劍%顧定平%付國齊%張寬%江軍%李濤%楊景美
애민%장청화%안창복%하복순%주쌍륙%하검%고정평%부국제%장관%강군%리도%양경미
冠状动脉疾病/外科学%急性病%综合征%血清白蛋白%手术后期间%血管成形术,经腔,经皮冠状动脉%预测
冠狀動脈疾病/外科學%急性病%綜閤徵%血清白蛋白%手術後期間%血管成形術,經腔,經皮冠狀動脈%預測
관상동맥질병/외과학%급성병%종합정%혈청백단백%수술후기간%혈관성형술,경강,경피관상동맥%예측
Coronary artery disease/surgery%Acute disease%Syndrome%Serum albumin%Postoperative period%Angioplasty,transluminal,percutaneous coronary%Forecasting
目的 探讨缺血修饰白蛋白(IMA)对急性冠脉综合征(ACS)患者PCI术后的临床价值的预测.方法 收集攀钢总医院心内科2010年1月至2012年7月ACS经PCI术后的患者109例.患者发病后6h之内测定IMA,经PCI及术后标准化治疗,随访6个月根据心血管事件是否发生,分为事件组和无事件组.结果 有效随访患者101例,其中事件组26例(25.74％),无事件组75例(74.26％).左室射血分数比较,事件组[(45±7)％]低于无事件组[(52±10)％],差异有统计学意义(t=1.894,P＜0.05).血清IMA比较,事件组[(105.51±13.26) U/ml]明显高于无事件组[(85.18±11.36) U/ml],差异有统计学意义(t=7.3518,P＜0.01).校正其它心血管危险因素后,IMA仍然是心血管事件的独立危险因素(OR =1.76,95％ CI:1.3 ～2.23,P=0.01).结论 IMA对ACS患者PCI术后6个月内心血管事件有很好的临床预测价值.
目的 探討缺血脩飾白蛋白(IMA)對急性冠脈綜閤徵(ACS)患者PCI術後的臨床價值的預測.方法 收集攀鋼總醫院心內科2010年1月至2012年7月ACS經PCI術後的患者109例.患者髮病後6h之內測定IMA,經PCI及術後標準化治療,隨訪6箇月根據心血管事件是否髮生,分為事件組和無事件組.結果 有效隨訪患者101例,其中事件組26例(25.74％),無事件組75例(74.26％).左室射血分數比較,事件組[(45±7)％]低于無事件組[(52±10)％],差異有統計學意義(t=1.894,P＜0.05).血清IMA比較,事件組[(105.51±13.26) U/ml]明顯高于無事件組[(85.18±11.36) U/ml],差異有統計學意義(t=7.3518,P＜0.01).校正其它心血管危險因素後,IMA仍然是心血管事件的獨立危險因素(OR =1.76,95％ CI:1.3 ～2.23,P=0.01).結論 IMA對ACS患者PCI術後6箇月內心血管事件有很好的臨床預測價值.
목적 탐토결혈수식백단백(IMA)대급성관맥종합정(ACS)환자PCI술후적림상개치적예측.방법 수집반강총의원심내과2010년1월지2012년7월ACS경PCI술후적환자109례.환자발병후6h지내측정IMA,경PCI급술후표준화치료,수방6개월근거심혈관사건시부발생,분위사건조화무사건조.결과 유효수방환자101례,기중사건조26례(25.74％),무사건조75례(74.26％).좌실사혈분수비교,사건조[(45±7)％]저우무사건조[(52±10)％],차이유통계학의의(t=1.894,P＜0.05).혈청IMA비교,사건조[(105.51±13.26) U/ml]명현고우무사건조[(85.18±11.36) U/ml],차이유통계학의의(t=7.3518,P＜0.01).교정기타심혈관위험인소후,IMA잉연시심혈관사건적독립위험인소(OR =1.76,95％ CI:1.3 ～2.23,P=0.01).결론 IMA대ACS환자PCI술후6개월내심혈관사건유흔호적림상예측개치.
Objective Exploring clinical prediction value of the ischemia modified albumin (IMA) for acute coronary syndrome (ACS) patients after the percutaneous coronary intervention (PCI).Methods A total of 109 cases of the PCI postoperative patients of ACS at the Panggang General Hospital from January 2010 to July 2012 were included.IMA was determined within 6 hours after admission,and standardized treatment after PCI.After a 6-month follow-up,they were divided into the event group and non-event group according to cardiovascular events occurrence.Results 101 cases were followed-up,including 26 cases of cardiovascular events (25.74％) and 75 cases of no cardiovascular events (74.26％).The left ventricular ejection fraction of the event group [(45 ± 7)％] was significantly lower than the non-event group [(52 ± 10) ％] (t =1.894,P ＜ 0.05).Serum IMA of the event group[(105.51 ± 13.26) U/ml]was significantly higher than the non-event group [(85.18 ± 11.36) U/ml] (t =7.3518,P ＜0.01).After controlling other cardiovascular risk factors,IMA was still independent risk factors for cardiovascular events (OR =1.69,95％ CI: 1.18 ～ 2.13,P =0.01).Conclusions IMA have very good clinical prediction value of cardiovascular events occurrence for ACS after PCI.
