冠心病患者首次PTCA后发生再狭窄的危险因素分析

Analysb on the risk factors of coronary artery restenosis in CAD patients after PICA

目的:探讨PTCA后再狭窄的危险因素,为防治PTCA后再狭窄提供依据。方法:对70例患者PTCA的一般情况、PTCA有关数据,采用SPSS 10.0软件进行分析。结果:再狭窄率为25.7％(18/70)。Logistic回归结果显示大量喝酒、糖尿病、缺少运动是再狭窄发生的危险因素,其相对危险度分别为18.122,7.528,4.906。首次PTCA时低年龄、男性相对容易发生再狭窄。结论:PTCA患者(尤其是男性)不宜嗜酒,应控制血糖,更多活动。

Objective:To explore the risk factors of coronary artery restenosis in coronary artery disease(CAD) patients after percutaneous transluminal coronary angioplasty (PTCA), so to Supply the evidences for prevention/treatment restenosis. Methods: Seventy CAD patients after PTCA were randomly selected. The data of the subjects was collected, the time of the first/second PTCA was recorded and all of the data were input to database. SPSS 10. 0 was used for analysis. Results: The restenosis rate was 25. 7% (18/70). Results of logistic regressive analysis showed that the risk factors of the restenosis were too much alcohol intake, diabetes and lack of exercise, the OR were 18.122, 7. 528, 4. 906 respectively. The results also indicated that lower age for the first PTCA and male were more likely suffering from restenosis after PTCA. Conclusion: Results suggests that CAD patients with diabetes should control the blood sugar, do exercise more actively and do not drink too much alcohol early after PTCA. Males should pay more attention to prevent restenosis.