非ST段抬高性急性冠状动脉综合症行直接冠状动脉介入治疗成功的影响因素探讨

Study on influence factors of direct percutaneous coronary intervention treatment about non-ST segment elevation of acute coronary syndromes

目的探讨非ST段抬高性急性冠状动脉综合症(NSTE-ACS)患者转运行直接冠状动脉介入治疗后的结果以及影响介入治疗的因素。方法回顾性分析2007年1月～2011年3月医院收治的接受转运行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、BMI指数低、CK-MB水平低、血管病变程度轻是NSTE-ACS患者经皮冠状动脉介入(PCI)治疗成功的保护因素,曾有心肌梗死、心功能衰竭、中风、心绞痛、冠心病病史,高血压、吸烟、高脂血症是NSTE-ACS患者PCI治疗失败的危险因素。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 explore influence factors of direct percutaneous coronary intervention treatment about non-ST segment elevation of acute coronary syndromes patients.Methods 230 patients with non-ST segment elevation of acute coronary were accepted to run direct coronary artery interventional therapy.The clinical data,imaging features and interventional therapy of data were analyzed.Results Interventional treatment success rate was 90.4%.Young,female,low BMI index,low CK-MB levels and vascular lesions were protective factors of interventional treatment successfully.The myocardial infarction,heart failure,stroke,angina pectoris,history of coronary heart disease,hypertension,smoking and hyperlipidemia were risk factors of interventional treatment failure.Conclusion Prevention of non-ST segment elevation in acute cononary syndromes is important.Many factors influence the interventional operation.