冠心病介入术后再狭窄危险因素的多因素Logistic分析

The risk factors for percutaneous coronary intervention of coronary heart disease

目的 :分析冠心病介入术后再狭窄的危险因素。方法 :选取108例2012年1月~2014年1月在我院接受冠心病介入手术患者的临床资料,对选取病人进行术后6个月随访并行冠状动脉造影术,依据患者是否出现冠状动脉再狭窄分为观察组和对照组。结果 :本研究共纳入受试者108例,其中观察组78例,对照组40例。对两组受试对象的支架直径进行比较发现,差异具有统计学意义。观察组受试对象血清TC、TG、HDL-C、HDL-C、LP(α)、CRP水平显著高于对照组,差异均具有统计学意义。Logistic多因素回归分析方法分析,支架直径、TC、TG、HDL-C、CRP水平升高是冠心病再狭窄的独立危险因素。观察组患者CRP与TG呈现正相关,与HDL-C呈现负相关。结论 :支架直径、TC、TG、HDL-C、CRP水平升高是引起冠心病再狭窄的危险因素。

Objective Analysis of risk factors for percutaneous coronary intervention of coronary heart disease. MethodsSelect 108 cases clinical data with coronary interventional surgery in our hospital during January 2012 and January 2012, which have coronary artery angiography six months later, the patients are divided into observation group and control group according to whether with coronary artery restenosis. Results Comparing stent diameter of two groups, the difference is statistically significant. Observation group of serum TC, TG, HDL-C, HDL-C, LP(α), and the CRP level is significantly higher than the control group, differences were statistically significant. With Logistic multi-factor regression analysis methods, stent diameter, TC, TG, HDL-C, elevated CRP levels are independent risk factors for coronary restenosis. The level of CRP and TG of the patients in observation group show significant positive correlation. The level of CRP and HDL-C of the patients in observation group show significant negative correlation. Conclusion Stent diameter, the rise level of TC, TG, HDL-C, CRP are risk factors for coronary restenosis.