摘要
目的分析PCI术后死亡的危险因素及死亡原因。方法我院235例完成PCI术的患者术后共有9例死亡,对32项临床因素进行单因素分析,并对有统计意义的因素进行logistic回归分析。结果单因素分析显示有年龄≥75岁、高血压病史、中风病史、急性非ST段抬高心肌梗死(NSTEMI)、肾小球滤过率(eGFR)<30ml/min/1.72m2、左主干病变(P分别为0.019、0.005、0.005、0.001、0.000、0.047)等6种情况的患者PCI术后死亡率较高,logistic分析显示NSTEMI、eGFR<30ml/min/1.72m2、左主干病变(P分别为0.005、0.017、0.026)等3项则是PCI术后死亡的独立危险因素,死亡原因以心源性原因为主,其中支架内血栓形成或可能的支架内血栓形成是最主要原因。结论 NSTEMI、eGFR<30ml/min/1.72m2、左主干病变等是PCI术后死亡的独立危险因素,支架内血栓形成或可能的支架内血栓形成是最主要死亡原因。
Objective To analysis risk factor and reason of death after PCI.Methods There are 9 cases died in 235 cases who accepted PCI.On one-factor analysis of variance to 32 clinical factor,and proceed logistic regression analysis to the statistically significant factors.Results One-factor analysis of variance show that 6 factors including age≥75,history of hypertension,history of stroke,NSTEMI,eGFR30ml/min/1.72m2 and left main disease are related to death after PCI（P are 0.019、0.005、0.005、0.001、0.000、0.047）.Logistic regression analysis show that NSTEMI,eGFR30ml/min/1.72m2 and left main disease are independent risk factors of death after PCI（P are 0.005、0.017、0.026）.Cardiac cause is the main cause of death.Stent thrombosis or possible stent thrombosis is the main cause.Conclusion NSTEMI,eGFR30ml/min/1.72m2 and left main disease are independent risk factors of death after PCI.Stent thrombosis or possible stent thrombosis is the main cause of death after PCI.
出处
《实用心脑肺血管病杂志》
2012年第2期211-213,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
