摘要
目的探讨冠状动脉慢血流现象(CSFP)患者的临床特点,并分析该现象的影响因素。方法回顾性连续收集2018年4月1日至2018年9月30日于郑州大学第一附属医院拟诊为冠心病的4380例患者。根据入选标准与排除标准,最终纳入冠状动脉无明显狭窄但存在CSFP的患者共96例作为CSFP组,同期纳入冠状动脉无明显狭窄且血流正常的患者共93例作为对照组。收集患者一般资料,血液检验指标,动态心电图结果并进行统计学分析。结果CSFP组与对照组性别、血红蛋白、红细胞压积、平均红细胞体积、平均红细胞血红蛋白含量、最高心率、SDNN比较,差异有统计学意义(均P<0.05)。多因素Logistic回归分析显示,最高心率及SDNN值是CSFP的独立影响因素(均P<0.05)。结论最高心率及SDNN值降低是CSFP的独立危险因素。
Objective To investigate the clinical characteristics of patients with coronary slow flow phenomenon (CSFP) and to analyze the influencing factors of this phenomenon. Methods A series of 4 380 cases of coronary heart disease were collected from April 1,2018 to September 30,2018 in the First Affiliated Hospital of Zhengzhou University.According to inclusion criteria and exclusion criteria,2 groups were established,including CSFP group (96 patients without obvious coronary artery stenosis but with CSFP) and control group (93 patients without obvious coronary artery stenosis and with normal coronary blood flow).General patient data,blood test indicators,dynamic electrocardiogram results were collected and statistical analysis was performed. Results There were significant differences in sex,hemoglobin,hematocrit,mean corpuscular volume,mean corpuscular hemoglobin,maximum heart rate and SDNN between CSFP group and control group (all P < 0.05).Multivariate logistic regression analysis showed that the maximum heart rate and the SDNN were independent influencing factors of CSFP (all P < 0.05). Conclusion The maximum heart rate and the SDNN may be independent risk factors for CSFP.
作者
朱文龙
张金盈
ZHU Wen-long;ZHANG Jin-ying(Department of Cardiovascular,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《河南医学研究》
CAS
2019年第13期2323-2326,共4页
Henan Medical Research
关键词
冠状动脉慢血流现象
危险因素
动态心电图
coronary slow flow phenomenon
risk factors
dynamic electrocardiogram
