非ST段抬高性急性冠状动脉综合症行直接冠状动脉介入的影响因素分析

Influence Factors of Direct Percutaneous Coronary Intervention Treatment About Non-ST Segment Elevation Acute Cononary Syndromes Patients

目的探讨非ST段抬高性急性冠状动脉综合症(NSTE-ACS)患者行直接冠状动脉介入(PCI)治疗后的结果以及影响介入治疗的因素。方法回顾性分析2008年1月～2011年3月接受直接冠状动脉介入治疗的非ST段抬高性急性冠状动脉综合症患者230例。分析其临床资料、病变影像特征、介入治疗资料。结果介入治疗成功率为90.4%。年轻、女性、体质指数(BMI)低、CK-MB水平低、血管病变程度轻是NSTE-ACS患者PCI治疗成功的有利因素,有过心肌梗死、心功能衰竭、中风、心绞痛史、高血压、吸烟、高脂血症是NSTE-ACS患者PCI治疗失败的不利因素。结论非ST段抬高性急性冠状动脉综合症重在预防,其介入治疗成功受多种因素影响,应采取针对性措施,提高患者治疗成功率。

Objective To investigate Influence Factors of direct percutaneous coronary intervention success about non-ST segment elevation acute cononary syndromes patients. Methods retrospective analysis of 2008 January - 2011 March the hospital were accepted to run direct coronary artery interventional therapy of non-ST segment elevation acute cononary patients in 230 cases. Analysis the clinical data and imaging features and interventional therapy of data. Results Interventional treatment success rate was 90.4%. Young,female, BMI index is low, low CK-MB levels and vascular lesions in patients light is protective factors of interventional treatment successfully, had a myocardial infarction, heart failure, stroke, angina pectoris, history of coronary heart disease, hypertension, smoking, hyperlipidemia in patients is risk factors of interventional treatment failure. Conclusion To prevent non-ST segment elevation acute cononary syndromes is important. its successful interventional treatment is influenced by many factors, we should adopt specific measures to improve success fulpatient treatment.