【摘要】 目的探讨冠心病(coronary atherosclerotic heart disease,CHD)患者经皮冠状动脉介入术(percutaneoues coronary intervention,PCI)后支架内再狭窄(in stent restenosis,ISR)的危险因素。方法收集2013年1—12月在南昌市第一医院成功接受PCI术130例CHD患者的临床资料,其中术后12个月行冠状动脉造影检查发生再狭窄49例(A组),无再狭窄81例(B组)。对2组的相关临床资料行单因素分析与Logistic回归分析。结果 A组左心房容积指数(LAVI)值、支架数量、高血压例数较B组显著增加(P<0.05);LAVI值、高血压、支架数量是CHD患者PCI术后发生ISR的独立危险因素。结论 CHD患者PCI术后发生ISR与LAVI值、高血压、支架数量相关。更多还原

【Abstract】 Objective To investigate the risk factors for in-stent restenosis(ISR)following percutaneous coronary intervention(PCI)in patients with coronary heart disease(CHD).Methods Clinical data of 130 CHD patients who underwent PCI in Nanchang First Hospital between January and December 2013 were analyzed using univariate analysis and logistic regression analysis.Coronary angiography performed at 12 months postoperatively showed that 49 patients had restenosis(group A)and 81 patients had no restenosis(group B).Results Compared with group B,left atrial volume index(LAVI),number of stents and number of patient with hypertension significalty increased in group A(P<0.05).Multivariable logistic regression analysis showed that LAVI,hypertension and number of stents were the independent risk factors for ISR following PCI in CHD patients.Conclusion The LAVI,hypertension and number of stents are correlated with the occurrence of ISR following PCI in patients with CHD.更多还原