非ST段抬高型急性冠脉综合征的冠状动脉造影影响因素

Related Factors of Elective Coronary Angiography in Patients with Non-ST Segment Elevated of Acute Coronary Syndrome

目的分析非ST段抬高型急性冠脉综合征(NSTE-ACS)患者选择冠状动脉造影的影响因素。方法回顾性收集2008年1月至2015年12月在我院出院的NSTE-ACS患者的临床资料,分为冠状动脉造影组与非造影组,比较两组间一般资料,多因素Logistic回归分析影响选择冠状动脉造影的因素。结果冠状动脉造影组214例与非冠状动脉造影261例相比,男性、吸烟、心功能Ⅱ级比例较高,年龄、肌酐水平偏低。两组间高血压、糖尿病、陈旧性心肌梗死/经皮冠状动脉介入治疗、空腹血糖、甘油三酯水平差异无统计学意义。多因素Logistic回归分析显示男性、年龄、心功能Ⅱ级、肌酐水平是选择冠状动脉造影的影响因素。结论本组NSTE-ACS患者冠状动脉造影率为45%,年龄、男性、心功能Ⅱ级、肌酐水平是选择冠状动脉造影的影响因素。

Objective To analyze related factors of elective coronary angiography in patients with non-ST segment elevated of acute coronary syndrome（ NSTE-ACS）. Methods The clinical data of NSTE-ACS patients were collected in our hospital from January 2008 to December 2015. The clinical information between coronary angiography group（ n = 214） and non coronary angiography group（ n = 261） were compared. The association factors of elective coronary angiography in multiple logistic regression mode were analyzed.Results Compared to non coronary angiography group（ 261 cases）,the coronary angiography group（ 214cases） had higher percentage of male,smoking and cardiac function grade Ⅱ,but had younger age and lower serum creatinine level. The percentage of hypertension,diabetes,chronic myocardial infarction/percutaneous coronary intervention,and fasting blood glucose,triglycerides level were no significantly statistic difference between the two groups. The male,age,cardiac function grade Ⅱ,and serum creatinine level were influence factors of elective coronary angiography in the multiple logistic regression mode. Conclusion The elective coronary angiography rate was 45 percent in NSTE-ACS patients in our hospital. The male,age,cardiac function grade,and serum creatinine level were influence factors of elective coronary angiography.