摘要
目的研究SYNTAX-Ⅱ积分在急性心肌梗死患者径皮冠状动脉介入治疗(PCI)预后预测中的价值。方法选取2009年1月至2010年1月入院接受PCI的急性心肌梗死患者共219例进行回顾性分析。依据SYNTAX-Ⅱ积分将患者分为低分组(0~22分),中分组(>22~29分)和高分组(>29分),每组73例。采用COX比例风险模型评价SYNTAX-Ⅱ积分在急性心肌梗死患者PCI预后预测中的价值。结果 3组患者的全因病死率和心源性病死率差异有统计学意义(P<0.05),但非心源病死率差异无统计学意义(P>0.05)。3组间心肌梗死和再次血运重建发生率比较差异有统计学意义(P<0.05)。COX分析显示,年龄、左室射血分数和SYNTAX-Ⅱ积分是急性心肌梗死患者全因死亡的独立危险因素。结论 SYNTAX-Ⅱ积分在中国急性心肌梗死患者PCI预后预测中应用效果良好,具有临床应用价值。
Objective To investigate the value of SYNTAX- Ⅱ score in predicting the prognosis of percutaneous coronary inter vention（PCI） therapy in the patients with acute myocardial infarction（AMI）. Methods A total of 219 patients with AMI receiving the PCI therapy in our hospital from January 2009 to January 2010 were selected and retrospectively analyzed. According to the SYNTAX-Ⅱ score（0-22 points）, the patients were divided into three groups, middle score group（23-29 points） and high score group（〉29 points） ,73 cases in each group. The COX proportional hazard model was adopted to evaluate the value of SYNTAX-Ⅱ score in predicting the prognosis of PCI in the patients with AMI. Results The all-cause mortality and cardiac mortality had statis- tical difference among three groups（P〈0.05）,but there was no statistically significant difference in the non-cardiac mortality rate （P〉0.05）. The incidence rates of myocardial infarction and revascularization had statistical difference among the three groups（P〈0.05）. The COX analysis showed that age, left ventricular ejection fraction and SYNTAX-Ⅱ score were the independent risk factors for the all-cause mortality in the patients with AMI. Conclusion The SYNTAX- Ⅱ score has good effect in predicting the prognosis of PCI in Chinese patients with AML
出处
《检验医学与临床》
CAS
2017年第7期976-978,共3页
Laboratory Medicine and Clinic
