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冠状动脉旁路移植术后旁路血管闭塞和死亡风险的预测模型研究进展

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摘要 我国冠状动脉旁路移植术(coronaryarterybypassgrafting,CABG)多中心登记研究结果显示,随着人口老龄化及生活方式的转变,冠心病的发生率正逐年上升,且我国患者冠状动脉三支病变占比较高[1]。CABG是一种普遍应用于多支冠状动脉狭窄的血运重建策略,可明显改善患者预后,提高患者的生活质量。然而,CABG术后早期或远期存在旁路血管闭塞的可能,严重者可致急性心肌梗死而死亡[2]。年龄、性别、糖尿病、高血压、吸烟史、血脂异常、冠状动脉狭窄程度、动脉粥样硬化程度、血管直径以及旁路血管的形态和功能特征是影响CABG术后情况的重要因素[2-3]。建立风险预测模型的目的是识别患者的人口统计学特征和影响患者结局的风险因素。预测模型通过相关和回归分析呈现临床观察指标(危险因素)和预测结局变量之间的定量关系.
出处 《河南医学研究》 CAS 2020年第34期F0003-F0004,共2页 Henan Medical Research
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