心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2015年
3期
280-282
,共3页
尿酸%急性冠状动脉综合征%血管成形术 ,气囊 ,冠状动脉
尿痠%急性冠狀動脈綜閤徵%血管成形術 ,氣囊 ,冠狀動脈
뇨산%급성관상동맥종합정%혈관성형술 ,기낭 ,관상동맥
Uric acid%Acute coronary syndrome%Angioplasty,balloon,coronary
目的：探讨血清尿酸水平与急性冠状动脉综合征（ACS）患者经皮冠状动脉介入治疗（PCI）后再狭窄的关系。方法：选择2010年01月～2013年12月在兰州石化总医院诊断为ACS ，并接受PCI治疗的患者389例，其中高尿酸血症患者82例为高尿酸血症组，余尿酸正常者为正常尿酸组（307例）。观察并比较两组临床情况以及PCI后再狭窄的发生。结果：与正常尿酸组比较，高尿酸血症组高血压（41.04％比58.54％）、Killip＞Ⅰ级（16.61％比26.83％）、多支病变（50.16％比64.63％）比例显著升高（ P均＜0.05）；高尿酸血症组 PCI 后再狭窄率显著升高（9.12％比15.85％，P＜0.05）。结论：血清尿酸水平与急性冠脉综合征患者PCI后再狭窄率有密切关系，值得注意。
目的：探討血清尿痠水平與急性冠狀動脈綜閤徵（ACS）患者經皮冠狀動脈介入治療（PCI）後再狹窄的關繫。方法：選擇2010年01月～2013年12月在蘭州石化總醫院診斷為ACS ，併接受PCI治療的患者389例，其中高尿痠血癥患者82例為高尿痠血癥組，餘尿痠正常者為正常尿痠組（307例）。觀察併比較兩組臨床情況以及PCI後再狹窄的髮生。結果：與正常尿痠組比較，高尿痠血癥組高血壓（41.04％比58.54％）、Killip＞Ⅰ級（16.61％比26.83％）、多支病變（50.16％比64.63％）比例顯著升高（ P均＜0.05）；高尿痠血癥組 PCI 後再狹窄率顯著升高（9.12％比15.85％，P＜0.05）。結論：血清尿痠水平與急性冠脈綜閤徵患者PCI後再狹窄率有密切關繫，值得註意。
목적：탐토혈청뇨산수평여급성관상동맥종합정（ACS）환자경피관상동맥개입치료（PCI）후재협착적관계。방법：선택2010년01월～2013년12월재란주석화총의원진단위ACS ，병접수PCI치료적환자389례，기중고뇨산혈증환자82례위고뇨산혈증조，여뇨산정상자위정상뇨산조（307례）。관찰병비교량조림상정황이급PCI후재협착적발생。결과：여정상뇨산조비교，고뇨산혈증조고혈압（41.04％비58.54％）、Killip＞Ⅰ급（16.61％비26.83％）、다지병변（50.16％비64.63％）비례현저승고（ P균＜0.05）；고뇨산혈증조 PCI 후재협착솔현저승고（9.12％비15.85％，P＜0.05）。결론：혈청뇨산수평여급성관맥종합정환자PCI후재협착솔유밀절관계，치득주의。
Objective:To explore the relationship between serum uric acid (SUA) level and restenosis after percutane-ous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) .Methods:A total of 389 patients , who were diagnosed as ACS and received PCI in our hospital from Jan 2010 to Dec 2013 ,were selected .The 82 pa-tients with hyperuricemia were regarded as hyperuricemia group ,and the remaining patients with normal SUA level were treated as normal SUA group (n= 307) .Clinical condition and restenosis after PCI were observed and com-pared between two groups .Results:Compared with normal SUA group ,there were significant rise in percentages of hypertension (41.04% vs .58.54% ) ,Killip> class Ⅰ (16.61% vs .26.83% ) and multi-vessel coronary disease (50.16% vs .64.63% ) ,restenosis rate after PCI (9.12% vs .15.85% ) in hyperuricemia group ,P<0.05 all .Con-clusion:Serum uric acid level is closely related to restenosis rate after PCI in ACS patients ,which is worth attention .
