经皮冠状动脉介入治疗术后早发冠心病患者的临床特点

Clinical Features of Patients With Premature Coronary Heart Disease After Percutaneous Coronary Intervention

目的探讨经皮冠状动脉介入治疗术后不同性别早发冠心病患者的临床特点及远期预后的影响因素。方法以2016年7月—2019年7月在我院接受经皮冠状动脉介入治疗的900例患者作为研究对象,记录患者的临床资料及随访数据,进行回顾性研究分析,将研究的900例患者按照性别分为男性患者组及女性患者组,记录患者的临床特点并分析影响患者预后的影响因素。结果随访后1年女性患者的死亡率(4.4%)高于男性(2.4%),差异具有统计学意义(P<0.05)。同时分析两组患者的临床特点可以得出,男性患者的年龄、高血压发生情况及糖尿病发生情况均较女性患者低,而体质量指数(BMI)、左室射血分数(LVEF)、冠心病家族史发生率、既往卒中史发生率均高于女性,数据差异具有统计学意义(P<0.05)。结论经皮冠状动脉介入治疗术后1年女性患者的死亡率高于男性,可能与女性患者发病年龄高,且女性患者高血压及糖尿病的发生率高于男性患者有关。

Objective To explore the clinical characteristics and long-term prognosis of patients with early coronary heart disease of different genders after percutaneous coronary intervention.Methods From July 2016 to July 2019,900 patients who received percutaneous coronary intervention in our hospital were taken as the research objects.The clinical data and follow-up data of the patients were recorded and analyzed retrospectively.The 900 patients in the study were divided into male patients group and female patients group according to their gender.The clinical characteristics of the patients were recorded and the influencing factors on the prognosis of the patients were analyzed.Results The mortality rate of female patients(4.4%)was higher than that of male patients(2.4%)one year after follow-up with statistical significance(P<0.05).At the same time,by analyzing the clinical characteristics of the two groups of patients,it can be concluded that the age,hypertension and diabetes of male patients are lower than those of female patients,while the body mass index(BMI),left ventricular ejection fraction(LVEF),the incidence of family history of coronary heart disease and the incidence of previous stroke history are higher than those of female patients,with statistical significance(P<0.05).Conclusion The mortality rate of female patients is higher than that of male patients one year after PCI,which may be related to the age of female patients,and the incidence of hypertension and diabetes in female patients is higher than that in male patients.