冠状动脉支架内再狭窄的相关性因素分析
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Correlational Factors Analysis of Coronary Artery In-stent Restenosis
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    摘要:

    目的通过分析冠状动脉支架内再狭窄(ISR)的相关性因素,探讨如何降低冠状动脉ISR的发生。方法选择100例冠状动脉ISR和100例无冠状动脉ISR的患者,通过对比两组患者的冠心病危险因素及冠状动脉支架情况来分析影响冠状动脉ISR的相关因素,并通过Logistic回归分析得出相关因素的相关强度排序。结果吸烟、血压、血糖、总胆固醇、低密度脂蛋白胆固醇和支架直径、长度、部位、数量在冠状动脉ISR组与无冠状动脉ISR组比较中,有显著性差异(P<0.05);急性心肌梗死患者中,未应用Ⅱb/Ⅲa受体拮抗剂及C反应蛋白增高者在两组比较中有显著性差异(P<0.05)。Logistic回归分析结果显示冠状动脉ISR与餐后2 h血糖及吸烟相关性较强;冠状动脉ISR与冠状动脉支架情况的相关性强度为:多枚支架>支架直径>支架长度>支架部位。结论糖尿病、吸烟、高血压、高脂血症及冠状动脉多支病变、重度狭窄、急性心肌梗死患者未应用血小板Ⅱb/Ⅲa受体拮抗剂、C反应蛋白升高是冠状动脉ISR的重要相关因素。

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    AimTo explore how to reduce the incidence of coronary artery in-stent restenosis (ISR) via analysis of the related factors to ISR.Methods100 cases with coronary artery ISR and 100 cases without coronary artery ISR were selected.We analyzed the related factors affecting the coronary ISR by comparing the coronary heart disease risk factors and the coronary stent situations between the two groups of patients, and finally obtained the relevant intensity order for related factors by Logistic regression analysis.ResultsSignificant differences (P<0.05) were shown both in smoking, blood pressure, blood sugar, total cholesterol, low density lipoprotein cholesterol, and in the diameter, length, location and quantity of stents between two groups with or without coronary ISR; Among the acute myocardial infarction (AMI) patients, significant differences (P<0.05) were also shown in no application of Ⅱb/Ⅲa receptor antagonist and elevated level of C-reactive protein between two groups.Logistic regression analysis showed that coronary ISR had a strong correlation with 2 h postprandial blood glucose and smoking; The relevant intensity of coronary stents situation to coronary ISR showed: many pieces of stents > stent diameter > stent length > stent location.ConclusionDiabetes, smoking, hypertension, hyperlipidemia, multivessel coronary lesions, severe stenosis, acute myocardial infarction patients without application of platelet Ⅱb/Ⅲa receptor antagonist, elevated level of C-reactive protein are the important factors associated with coronary artery ISR.

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杨蕾,王丽娟.冠状动脉支架内再狭窄的相关性因素分析[J].中国动脉硬化杂志,2013,21(5):449~453.

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  • 收稿日期:2013-01-05
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