探讨心脏冠脉支架植入术后完善相关指标监测的重要性

目的探讨心脏冠脉支架植入术后相关血液指标的变化对预后评估及指导患者康复的重要性。方法 104例行冠状动脉支架植入术(PCI)患者分为无不良事件发生组(A组)及不良事件发生组(B组),并对无不良事件发生组患者术前术后进行回顾性研究。对患者的血清学指标超敏肌钙蛋白(hs-cTNT)、N-端脑利钠肽前体(NT-proBNP)、超敏CRP(hs-CRP)、D二聚体的监测分析。结果无不良事件发生组超敏肌钙蛋白(hs-cTNT)、N端脑利钠肽前体(NT-proBNP)、超敏CRP(hs-CRP)、D二聚体处于低水平状态,不良事件发生组超敏肌钙蛋白(hs-cTNT)、N端脑利钠肽前体(NT-proBNP)、超敏CRP(hs-CRP)、D二聚体处于相对高水平状态,两组间比较有统计学意义(P<0.05);无不良事件发生组患者术前相关指标水平总体高于术后,差异有统计学意义(P<0.05)。结论高水平的超敏肌钙蛋白(hs-cTNT)、N端脑利钠肽前体(NT-proBNP)、超敏CRP(hs-CRP)、D二聚体与冠状动脉支架植入术后并发症紧密联系,完善冠状动脉支架植入术后患者相关指标监测有利于指导康复,具有重要意义。

Research on the importance of relevant monitoring indicators for the heart coronary stent implantation

Objective To explore the importance of changes in the heart after coronary stent implantation related blood indicators in prognosising and guiding the rehabilitation of the patients, Methods A total of 104 cases of coronary artery stent implantation（PCI） were divided into no adverse events group （group A） and adverse event group （group B）, and no adverse events in patients before and after operation were studied retrospectively. Respectively on serologi cal indexes in patients with high-sensitivity troponin （hs-cTNT）, N-terminal pro-brain natriuretic peptide （NT- proBNP）, high sensitive CRP （hs-CRP）, monitored and analyzed of D-dimmer. Results No adverse events group of high-sensitivity troponin （hs-cTNT）, N terminal pro-brain natriuretic peptide （NT-proBNP）, high sensitive CRP （hs- CRP） ,D-dimer in the low level, adverse events were sensitive troponin （hs-cTNT）, N terminal pro-brain natriuretic peptide （NT-proBNP）, CRP （high sensitivity hs-CRP） ,D-dimer in a relatively high level, there was significant dif- ference between two groups （P〈0.05） ; no adverse events in patients with preoperative level index of the whole higher postoperatively, there was significant difference （P〈0.05）. Conclusion High-sensitivity cardiac troponin （hs-cTNT）, N terminal pro-brain natriuretic peptide （NT-proBNP）, high sensitive CRP （hs-CRP）, D-dimer maintained at a high level and after coronary stenting complication closely, improve after coronary artery stent implantation in patients with monitoring index is helpful to guide rehabilitation, has important significance.