冠心病患者冠脉支架介入治疗对预后影响分析

目的：研究冠心病患者在接受冠脉支架介入治疗的预后以及影响因素的分析。方法：2005年8月-2010年11月，69例冠心病患者在XXX医院成功接受冠脉支架治疗，于2011年7月-2012年4月对其中的64名患者进行了冠脉支架介入治疗后的随访。随访方式主要包括门诊、电话以及表格信访等。结果：在随访的64名患者当中，随访率为92.7%，随访时间是1个月～63个月，中位数为23个月。随访期中死亡2例，非致命性急性心肌梗死5例，18例心绞痛复发。术后5年的生存率为96.9%。单因素分析结果显示，是否冠脉支架介入与心脏事件呈负相关；多因素分析结果显示，冠脉支架介入为心脏事件的独立预测因子。结论：冠脉支架介入治疗冠心病可以有效解决冠脉的机械狭窄，预后良好，但不能阻止病变的进一步发展。冠脉支架介入治疗与积极干预可控危险因素相结合，对于冠心病患者具有重要意义。

Effects of coronary stents on prognosis in patients with coronary heart disease

Objective：To analyze prognosis of interventional treatment of coronary stents on coronary heart disease. Methods：69 patients was given coronary stents, 64 patients were given followed up. Results： Follow-up rate was 92.7%, the follow-up was 1~63 months, 2 cases of death, 5 cases of nonfatal acute myocardial infarction, 18 cases of recurrent angina. After 5 year, survival rate was 96.9%. Univariate analysis showed that whether coronary stent intervention and cardiac events were negatively correlated; multivariate analysis showed that coronary stent intervention as an independent predictor of cardiac events. Conclusion：Coronary stent intervention can effectively solve mechanical stenosis of coronary, with good prognosis, but could not prevent the further development of lesions. Interventional treatment of coronary stents and active intervention the controllable risk factors for coronary heart disease is important.