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经皮冠状动脉介入术后支架再狭窄因素临床评价
引用本文:齐大屯,高传玉,宋昆鹏,马林业,刘洪智. 经皮冠状动脉介入术后支架再狭窄因素临床评价[J]. 实用诊断与治疗杂志, 2009, 23(6)
作者姓名:齐大屯  高传玉  宋昆鹏  马林业  刘洪智
作者单位:1. 郑州大学第一附属医院心内科,郑州市,450053
2. 河南省人民医院心内科
摘    要:
目的:分析冠心病患者经皮冠状动脉介入术后支架内再狭窄的影响因素,并探讨其规律。方法:回顾性分析本院行冠状动脉介入治疗术后再次行冠状动脉造影的167例患者临床资料,分析急性心肌梗死组和非心肌梗死组、有症状组和无症状组冠状动脉支架再狭窄的发生率。结果:急性心肌梗死组患者支架术后支架再狭窄率高于非心肌梗死组患者(P<0.05);合并糖尿病患者再狭窄率高于未合并糖尿病患者(P<0.05);术后有可疑心绞痛症状者支架内再狭窄率高于无症状定期随访者(P<0.05)。结论:(1)急性心肌梗死、糖尿病可能由于其本身的病变特征,易致冠状动脉介入治疗术后支架内再狭窄。(2)根据临床症状可以初步诊断支架内再狭窄。

关 键 词:冠心病  经皮冠状动脉内介入治疗  冠状动脉支架内再狭窄  危险因素  

Clinical evaluation the factors of in-stent restenosis after percutaneous coronary intervention
QI Datun,GAO Chuanyu,SONG Kunpeng,et al.. Clinical evaluation the factors of in-stent restenosis after percutaneous coronary intervention[J]. Journal of Practical Diagnosis and Therapy, 2009, 23(6)
Authors:QI Datun  GAO Chuanyu  SONG Kunpeng  et al.
Affiliation:QI Datun,GAO Chuanyu,SONG Kunpeng,et al.Department of Cardiology,the First Affiliated Hospital to Zhengzhou University,Zhengzhou 450053,China
Abstract:
Objective To study the risk factors of in-stent restenosis by analyzing the clinical characteristics and risk factors of patients with coronary heart disease.Methods Coronary angiography was performed after percutaneous coronary intervention and the in-stent restenosis rates were analyzed in patients with acute myocardial infarction,non-acute myocardial infarction,angina and non-angina.Results The restenosis rate was higher in acute myocardial infarction patients than that in non-acute myocardial infarction...
Keywords:Coronary heart disease  percutaneous coronary intervention  coronary artery in-stent restenosis  risk factors  
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