| 老年人营养风险指数预测急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗的预后 |
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| 引用本文： | 周欣荣,陈清杰,赵龙,李晓梅,刘芬,向阳,赵倩,陈邦党,翟慧,马依彤,杨毅宁.老年人营养风险指数预测急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗的预后[J].中国动脉硬化杂志,2018,26(9):906-912. |
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| 作者姓名： | 周欣荣 陈清杰 赵龙 李晓梅 刘芬 向阳 赵倩 陈邦党 翟慧 马依彤 杨毅宁 |
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| 作者单位： | 新疆医科大学第一附属医院心脏中心;新疆乌鲁木齐市新疆心血管重点实验室;新疆医科大学第一附属医院临床研究院 |
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| 基金项目： | 国家自然科学基金项目(U1503322) |
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| 摘 要： | 目的旨在调查老年人营养风险指数(GNRI)是否与接受经皮冠状动脉介入治疗(PCI)急性ST段抬高型心肌梗死(STEMI)患者的死亡率相关。方法连续选取309例进行PCI的STEMI患者入组,将GNRI评分进行受试者工作特征曲线(ROC)分析,将GNRI≥94或94的患者分别被分配为0或1的GNRI评分组。结果在309例STEMI患者中,24例(7.74%)在医院死亡,15例(4.83%)在长期随访期间死亡中位随访时间为19.5(3~36)月]。与GNRI 0组患者相比,GNRI 1组患者有更显著的在院死亡率(16.7%比4.4%,P0.001)和长期随访死亡率(23.8%比8.4%,P0.001)。GNRI(HR 2.039,95%CI 1.038~4.004,P=0.039)是接受PCI的STEMI患者死亡率的显著独立预测因子。此外,与GNRI 0组患者相比,GNRI 1组患者的累积生存率显著降低(76.2%比91.6%,log-rank P0.001)。结论 GNRI对于接受PCI的STEMI患者风险分层可能是有效的。
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| 关 键 词： | 经皮冠状动脉介入治疗 ST段抬高型心肌梗死 老年人营养风险指数 |
| 收稿时间： | 2018/3/19 0:00:00 |
| 修稿时间： | 2018/5/27 0:00:00 |
Geriatric Nutritional Risk Index predicts clinical outcome in patients with acute ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention |
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| ZHOU Xinrong,CHEN Qingjie,ZHAO Long,LI Xiaomei,LIU Fen,XIANG Yang,ZHAO Qian,CHEN Bangdang,ZHAI Hui,MA Yitong and YANG Yining.Geriatric Nutritional Risk Index predicts clinical outcome in patients with acute ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention[J].Chinese Journal of Arteriosclerosis,2018,26(9):906-912. |
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| Authors: | ZHOU Xinrong CHEN Qingjie ZHAO Long LI Xiaomei LIU Fen XIANG Yang ZHAO Qian CHEN Bangdang ZHAI Hui MA Yitong and YANG Yining |
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| Institution: | Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research;Clinical Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 83000, China,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research;Clinical Research Institute, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 83000, China,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research,Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research and Department of Cardiology, the First Affiliated Hospital of Xinjiang Medical University;Xinjiang Key Laboratory of Cardiovascular Disease Research |
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| Abstract: | |
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| Keywords: | percutaneous coronary intervention ST-segment elevation myocardial infarction Geriatric Nutritional Risk Index |
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