摘要
目的分析老年急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入手术(PCI)后支架内再狭窄的危险因素。方法回顾性分析93例经PCI手术治疗的老年急性STEMI患者的临床资料,基于PCI术后是否出现支架内再狭窄将患者分为出现组和未出现组。分析术后支架内再狭窄的危险因素。结果 93例患者中,术后出现支架内再狭窄的有21例,未出现的有72例,出现率为22.58%。单因素分析显示,出现组的BMI≥24.00 kg/m2、高血压、糖尿病、病变支数≥2、TG≥2.20 mmol/L、FIB≥3.80 g/L占比显著高于未出现组(P<0.05);且多因素Logistic回归分析发现,上述因素均为患者出现支架内再狭窄的独立危险因素(P<0.05)。结论高BMI、高血压、糖尿病、病变支数多、高TG、高FIB是老年急性STEMI患者PCI术后支架内再狭窄的危险因素,在临床处理中需采取针对性预防措施,减少支架内再狭窄,改善手术预后。
Objective To analyze the risk factors for in-stent restenosis in elderly patients with acute ST-segment elevation myocardial infarction(STEMI) after percutaneous coronary intervention(PCI). Methods The clinical data of 93 elderly patients with acute STEMI treated by PCI were retrospectively analyzed. Based on whether in-stent restenosis occurred after PCI, the patients were divided into emergent group and non-emergent group. The risk factors of in-stent restenosis after surgery were analyzed. Results Among 93 patients, 21 cases had stent restenosis, 72 cases didn’t have stent restenosis, and the occurrence rate was 22.58%. The univariate analysis showed that BMI ≥24.00 kg/m^2, hypertension,diabetes mellitus, number of lesion branches ≥2, TG ≥2.20 mmol/L and FIB ≥3.80 g/L in the presence group were significantly higher than those in the absence group(P<0.05), and the multivariate Logistic regression analysis showed that the above factors were independent risk factors for in-stent restenosis(P <0.05). Conclusion High BMI, hypertension,diabetes mellitus, more lesion branches, high TG and high FIB are the risk factors for in-stent restenosis in elderly patients with acute STEMI after PCI. Targeted preventive measures should be taken in clinical treatment to reduce in-stent restenosis and improve the prognosis of surgery.
作者
张海良
张学丹
ZHANG Hai-liang;ZHANG Xue-dan(the Second Affiliated Hospital of Xi'an Medical University, Xi'an 710038, China)
出处
《临床医学研究与实践》
2019年第6期86-87,共2页
Clinical Research and Practice
关键词
ST段抬高型心肌梗死
经皮冠状动脉介入手术
支架内再狭窄
ST-segment elevation myocardial infarction
percutaneous coronary intervention
in-stent restenosis
