急性冠脉综合征患者PCI术后再入院的影响因素分析

Analysis of influencing factors of readmission in patients with acute coronary syndrome after PCI

目的:分析急性冠状动脉综合征(acute coronary syndrome,ACS)患者接受经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后再入院的影响因素。方法:回顾性分析2016年1月至2019年10月本院收治502例ACS患者的临床资料。其中,100例患者再入院,记为再入院组,其余402例患者记为非再入院组。对比两组一般资料,采用logistic回归分析导致患者再入院的独立危险因素。结果:两组饮酒、心房颤动、高血压、美国纽约心脏病学会(NYHA)分级、全球急性冠状动脉事件注册(GRACE)危险评分对比,差异无统计学意义( P>0.05),再入院组年龄≥60岁、性别男、吸烟、糖尿病、病变血管数≥2支占比高于非再入院组,差异有统计学意义( P<0.05);经logistic回归分析发现,年龄≥60岁、性别男、吸烟、糖尿病、病变血管数≥2支是ACS患者PCI术后再入院的独立危险因素( OR>1, P<0.05)。 结论:年龄、性别、吸烟、糖尿病、病变血管数与ACS患者PCI术后再入院具有密切关联,临床应积极采取有效干预措施,以控制再入院率。

Objective To analyze the influencing factors of readmission in patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods The clinical data of 502 patients with ACS who admitted in our hospital from January 2016 to October 2019 were retrospectively analyzed,among whom there were 100 patients with readmission and other 402 patients without readmission.The general data of the two groups were compared,and the logistic regression analysis was used to analyze the independent risk factors of readmission in the patients.Results There were no statistically significant differences in the drinking,atrial fibrillation,hypertension,New York Heart Association(NYHA)grading,Global Registry of Acute Coronary Events(GRACE)risk score between the two groups(P>0.05);the proportion of age≥60 years old,male,smoking,diabetes,the number of diseased vessels≥2 in the readmission group were higher than those in the nonreadmission group,with statistically significant differences(P<0.05).Logistic regression analysis showed that age≥60 years old,male,smoking,diabetes,the number of diseased vessels≥2 were independent risk factors of readmission in ACS patients after PCI(OR>1,P<0.05).Conclusion Age,gender,smoking,diabetes,and the number of diseased vessels are closely related to readmission in ACS patients after PCI.Clinically,effective interventions should be actively taken to control the rate of readmission.