CAJ | 학술논문

目的:探讨不稳定型心绞痛患者GRACE评分和TIMI危险评分与冠状动脉病变的关系.方法:选取2012年11月~2013年9月在我科住院,冠脉造影显冠脉病变(狭窄≥50%)的不稳定型心绞痛的患者114例,对照组为冠脉造影阴性(狭窄<50%)的患者102例.两组病人均计算Grace评分及TIMI评分,观察其与冠脉病变的相关性.结果:(1)GRACE评分:心绞痛组与对照组比较,单、双和三支病变组间比较,轻、中和重度病变组间比较,差异均有显著性(P<0.05);(2)TIMI评分:心绞痛组与对照组比较,单、双和三支病变组间比较,轻、中和重度病变组间比较,差异均有显著性(P<0.05).结论:GRACE和TIMI评分与冠脉病变的程度一致,均有较好的预测价值.
목적:탐토불은정형심교통환자GRACE평분화TIMI위험평분여관상동맥병변적관계.방법:선취2012년11월~2013년9월재아과주원,관맥조영현관맥병변(협착≥50%)적불은정형심교통적환자114례,대조조위관맥조영음성(협착<50%)적환자102례.량조병인균계산Grace평분급TIMI평분,관찰기여관맥병변적상관성.결과:(1)GRACE평분:심교통조여대조조비교,단、쌍화삼지병변조간비교,경、중화중도병변조간비교,차이균유현저성(P<0.05);(2)TIMI평분:심교통조여대조조비교,단、쌍화삼지병변조간비교,경、중화중도병변조간비교,차이균유현저성(P<0.05).결론:GRACE화TIMI평분여관맥병변적정도일치,균유교호적예측개치.
Objective: Discussion on patients with unstable angina pectoris. The global registry of acute coronary events (GRACE) score and thrombolysis in myocardial infarction trial (TIMI) risk score and coronary artery disease.Methods:A total of hospitalized in our department from Nov 2012 to Sep 2013,coronary angiography show 114 patients of coronary lesions (stenosis≥50%) in unstable angina pectoris and 102 cases of patients with negative coronary angiography (stenosis< 50%) in the control group. The Grace score and TIMI score were calculated in the two groups, and the correlation between them was observed.Results:(1) GRACE score:compared with the control group, the patients with angina pectoris group and control group were compared with the control group.The difference was statistically significant (P<0.05);(2) TIMI score: compared with the control group, the difference was statistically significant (P<0.05). Conclusion:Coronary artery disease and the scores of GRACE and TIMI dangerous degree of consistency, and have good predictive value.