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急性冠脈綜合征行急診冠狀動脈介入治療患者代謝紊亂分析
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作者 譚冠昶 牛雲茜 吳寶群 《镜湖医学》 2016年第2期34-37,共4页
目的分析行急診經皮冠脈動脈介入治療(percutaneous coronary intervention,PCI)的急性冠脈綜合征(acute coronary syndrome,ACS)患者的代謝紊亂特徵與其預後的相關性。方法對2007年~2012年在本院因ACS行急診PCI的223例患者臨床資料完... 目的分析行急診經皮冠脈動脈介入治療(percutaneous coronary intervention,PCI)的急性冠脈綜合征(acute coronary syndrome,ACS)患者的代謝紊亂特徵與其預後的相關性。方法對2007年~2012年在本院因ACS行急診PCI的223例患者臨床資料完整的病例使用Epidata 3.1進行兩份臨床資料錄入及進行一致性分析。結果與急性ST段抬高性心肌梗死(STEMI)患者相比,非ST段抬高急性冠脈綜合征(NSTE-ACS)患者年齡更大(65.50±12.80vs59.70±13.73,P=0.023),死亡率傾向於更高(8.8%vs2.6%,P=0.075)。STEMI患者的甘油三酯(TG)更高(1.74±1.54vs1.17±0.42,P=0.038)。女性的具有更高的平均年齡(74.22±11.41vs57.13±12.03,P<0.001),合併高血壓率(77.8%vs47.8%,P<0.001),高密度脂蛋白(HDL)(1.21±0.69vs1.02±0.27,<0.001),而男性的TG更高(1.76±1.56vs1.21±0.69,0.023)。中年人較老年人有更高的吸煙率(74.4%vs38.8%,P<0.001)、總膽固醇(CHOL)(4.82±1.17vs4.48±1.03,P=0.037)、低密度脂蛋白(LDL-c)(3.22±1.07vs2.87±0.92,P=0.016)和TG(1.93±1.73vs1.22±0.62,P<0.001)。而老年人的高血壓發生率更高(76.6%vs38.3%,P<0.001)和更高的HDL水平(1.17±0.34vs0.97±0.24,P<0.001)。住院期間死亡的患者中CHOL(3.63±1.03vs4.72±1.11,P=0.012)和LDL-c(2.21±0.97vs3.11±1.0,P=0.021)更低。結論對於行急診PCI的ACS患者,STEMI與NSTE-ACS對比不同性別和年齡有不同的代謝紊亂特徵。 展开更多
关键词 經皮冠脈動脈介 急性冠綜合征 代謝紊亂
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Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft 被引量:5
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作者 Ying Li Xue Feng +1 位作者 Biyun Chen Huaping Liu 《International Journal of Nursing Sciences》 CSCD 2021年第3期257-263,I0001,共8页
Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery ... Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) in the mainland of China.Methods:A retrospective study design was employed.We evaluated 230 CAD patients following PCI or CABG in a cardiac rehabilitation center from January 2019 to October 2019.The patients were referred to undergo incremental cardiopulmonary exercise testing with a cycle ergometer.The Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale were used to evaluate patients' mental health.Statistical analysis was performed using the chi-square test,Fisher's exact test,t-test,Mann-Whitney U test,and binary logistic regression.Results:Among the 230 patients,223 patients demonstrated reduced exercise capacity.Resutlts of the logistic regression analysis showed that anxiety (OR =1.13,95% CI 1.01-1.32,P =0.029) was an independent risk factor for reduced exercise capacity in patients following the PCI or CABG.Conclusions:Exercise capacity of Chinese CAD patients after PCI or CABG was relatively poor.Alleviating symptoms of anxiety and making exercise prescriptions according to the results of the cardiopulmonary exercise test should be considered during the intervention to improve CAD patients' exercise capacity. 展开更多
关键词 ANXIETY Coronary artery bypass Coronary artery disease Cardiac rehabilitation DEPRESSION Exercise test Exercise tolerance Percutaneous coronary intervention
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