摘要
目的:探讨吸烟对冠心病支架植入术患者预后的影响。方法:入选2006年8月~2010年8月在我院行冠脉支架植入术患者378例,术后随访两年,根据患者术后是否吸烟将其分为戒烟组(237例)和吸烟组(141例),比较吸烟对两组患者预后的影响。结果:随访两年后,与戒烟组比较,吸烟组患者心绞痛(13.1%比22.0%)、非致死性心梗(1.3%比4.9%)发生率明显升高(P<0.05);而两组患者在全因死亡率(2.9%比2.8%)、因心脏病再住院率(11.0%比8.5%)的差异无显著性(P>0.05)。结论:吸烟对冠心病支架植入术后患者有一定的影响,再发心绞痛及非致死性心肌梗死率显著升高。
Objective: To investigate influence of smoking on prognosis of patients with coronary heart disease (CHD) undergoing stent implantation. Methods: A total of 378 CHD patients undergoing coronary stent implanta- tion in our hospital from Aug 2006 to Aug 2008 were enrolled and followed up for two years after implantation. Ac- cording to smoking or not after implantation, patients were divided into non-smoking group (n = 237) and smoking group (n= 141). Influence of smoking on prognosis was compared between two groups. Results: Compared with non-smoking group after two-year follow up, there were significant increase in incidence rates of angina pectoris (13.1% vs. 22.0%) and nonfatal myocardial infarction (1.3% vs. 4.9%) in smoking group, P〈0. 05; but there were no significant difference in incidence rates of all-cause death (2.9% vs. 2.8%) and rehospitalization rate (11.0% vs. 8. 5%) caused by heart disease between two groups (P〉0. 05), Conclusion: Smoking has certain influ- ence on prognosis of patients with coronary heart disease after stent implantation, reccurrence rates of angina pecto- ris and nonfatal myocardial infarction significantly increase.
出处
《心血管康复医学杂志》
CAS
2013年第2期130-132,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠状动脉疾病
支架
心绞痛
吸烟
Coronary artery disease
Stents
Angina pectoris
Smoking