發(fā)布時間：2018-11-11 12:17

【摘要】：目的探究不同類型冠心病患者冠脈病變復雜程度的影響因素。方法回顧性研究分析2016年1~4月就診于吉林大學第一醫(yī)院心血管診療中心經(jīng)冠脈造影檢查明確冠心病診斷的患者共344例,其中急性ST段抬高型心肌梗死87例設為實驗組,其余257例冠心病患者設為對照組(包括穩(wěn)定型心絞痛、不穩(wěn)定型心絞痛、急性非ST段抬高型心肌梗死),在實驗組、對照組中分別根據(jù)冠脈造影結果計算SYNTAX評分,根據(jù)評分數(shù)值分為低危組(1~22分)、中高危組(≥23分)兩個亞組。各組均記錄入院時的一般資料(包括性別、年齡、吸煙史、高血壓病史、糖尿病史)、實驗室相關檢驗(包括血脂、肝功、肌酐、血常規(guī)、空腹血糖等),對比各組相關資料的差異。結果與對照組比較,實驗組患者WBC、Neut、GLU、Cr、ALT、AST、LDL水平明顯高于對照組,兩組差異具有統(tǒng)計學意義(P0.05);多因素Logistic分析顯示,高Neut水平、高AST水平是發(fā)生急性ST段抬高型心肌梗死的獨立危險因素(P0.05)。對照組亞組間比較,中高危組患者既往有高血壓病史、糖尿病史的比例明顯高于低危組,兩組比較存在統(tǒng)計學差異(P0.05);并且兩者均為對照組亞組中病變程度中的獨立危險因素(P0.05)。結論高Neut水平、高AST水平可以預測冠心病患者發(fā)生急性ST段抬高型心肌梗死,既往高血壓病史、糖尿病病史是穩(wěn)定型心絞痛、不穩(wěn)定型心絞痛、急性非ST段抬高型心肌梗死冠脈病變程度加重的獨立危險因素。
[Abstract]:Objective to investigate the influencing factors of coronary artery disease complexity in patients with different types of coronary heart disease. Methods A total of 344 patients with coronary artery disease diagnosed by coronary angiography in the Cardiovascular Center of the first Hospital of Jilin University from January to April 2016 were analyzed retrospectively. Among them, 87 patients with acute ST segment elevation myocardial infarction were set up as experimental group. The remaining 257 coronary heart disease patients were divided into control group (including stable angina pectoris, unstable angina pectoris, acute non-ST segment elevation myocardial infarction). SYNTAX scores were calculated in the experimental group and the control group according to the results of coronary angiography. The patients were divided into low risk group (1 ~ 22 points) and middle high risk group (鈮，

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