摘要
目的:分析冠心病经皮冠状动脉介入(PCI)术后患者发生心血管不良事件的影响因素。方法:选取2020年4月至2022年4月于该院接受PCI术治疗的94例冠心病患者进行前瞻性研究,术后随访1年,根据患者是否发生心血管不良事件将其分为发生组和未发生组,比较两组基线资料,并分析冠心病PCI术后患者发生心血管不良事件的影响因素。结果:94例冠心病PCI术后患者中,23例发生心血管不良事件,发生率为24.47%(23/94),其中心肌梗死5例,心绞痛复发16例,严重心律失常2例;Logistic回归分析结果显示,有吸烟史、年龄≥60岁、合并高血压、合并糖尿病、合并高脂血症、血尿酸水平≥360μmol/L、植入支架数目≥3个均为影响冠心病PCI术后患者发生心血管不良事件的危险因素(OR>1,P<0.05)。结论:有吸烟史、年龄≥60岁、合并高血压、合并糖尿病、合并高脂血症、血尿酸水平≥360μmol/L、植入支架数目≥3个均为影响冠心病PCI术后患者发生心血管不良事件的危险因素。
Objective:To analyze influencing factors of cardiovascular adverse events in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods:A prospective study was conducted on 94 patients with coronary heart disease who underwent PCI in this hospital from April 2020 to April 2022.After 1 year of follow-up,these patients were divided into occurrence group and non-occurrence group according to whether cardiovascular adverse events occurred.The baseline data were compared between the two groups.The influencing factors of cardiovascular adverse events in the patients with coronary heart disease after PCI were analyzed.Results:Among the 94 patients with coronary heart disease after PCI,23 patients had cardiovascular adverse events with an incidence of 24.47%(23/94),including 5 cases of myocardial infarction,16 cases of angina pectoris recurrence,and 2 cases of severe arrhythmia.Logistic regression analysis showed that smoking history,age≥60 years old,combined hypertension,combined diabetes,combined hyperlipidemia,serum uric acid level≥360μmol/L,and number of implanted stents≥3 were risk factors for cardiovascular adverse events in the patients with coronary heart disease after PCI(OR>1,P<0.05).Conclusions:Smoking history,age≥60 years old,combined hypertension,combined diabetes,combined hyperlipidemia,serum uric acid level≥360μmol/L,and number of implanted stents≥3 are the risk factors for cardiovascular adverse events in the patients with coronary heart disease after PCI.
作者
张同强
ZHANG Tongqiang(Department of Cardiology of Yuzhou Central Hospital,Xuchang 461670 Henan,China)
出处
《中国民康医学》
2023年第21期5-7,11,共4页
Medical Journal of Chinese People’s Health
关键词
冠心病
心血管不良事件
经皮冠状动脉介入术
影响因素
Coronary heart disease
Cardiovascular adverse events
Percutaneous coronary intervention
Influencing factor
