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单支血管和多支血管支架术治疗女性冠心病患者临床疗效比较研究
引用本文:刘圣文,乔树宾,徐波,陈珏,刘海波,秦学文,姚民,吴永健,戴军,张沛,高展,马卫华,于心亚,杨跃进,陈纪林,高润霖.单支血管和多支血管支架术治疗女性冠心病患者临床疗效比较研究[J].中国循环杂志,2008,23(5).
作者姓名:刘圣文  乔树宾  徐波  陈珏  刘海波  秦学文  姚民  吴永健  戴军  张沛  高展  马卫华  于心亚  杨跃进  陈纪林  高润霖
作者单位:中国医学科学院,北京协和医学院,心血管病研究所,阜外心血管病医院,冠心病诊疗中心,北京市,100037
基金项目:科技部科研院所社会公益研究专项基金
摘    要:目的:研究单支血管和多支血管支架术治疗女性冠心病患者的近期和远期临床疗效.方法:研究对象为我院2004-04至2005-04所有接受冠状动脉狭窄支架置入治疗486例女性患者,分为置入单支血管组(n=344)和多支血管组(n=142).所有患者完成1年临床随访,其中103例(21%)患者在支架术后6~9个月接受冠状动脉造影随访.结果:多支血管组较单支血管组支架置入成功率(99.1%比99.2%)、操作并发症(2.8%比0.6%)差异无统计学意义.1年随访显示多支血管组较单支血管组发生主要不良心脏事件(8.4%比3.8%,P=0.01)和靶病变血运重建(4.2%比1.7%,P<0.01)明显升高,差异有统计学意义;而心脏性死亡、急性心肌梗死两组比较差异无统计学意义.冠状动脉造影随访分析显示再狭窄多支血管组(19.6%)较单支血管组(15.1%)差异无统计学意义.结论:1年随访表明,女性冠心病患者单支血管支架术较多支血管支架术临床预后更佳.

关 键 词:女性  冠状动脉疾病  支架  主要不良心脏事件

Outcome Comparison in Single Vessel Stenting With Multivessel Stenting for Coronary Artery Disease Treatment in Female Patients
LIU Sheng-wen,QIAO Shu-bin,XU Bo,et al..Outcome Comparison in Single Vessel Stenting With Multivessel Stenting for Coronary Artery Disease Treatment in Female Patients[J].Chinese Circulation Journal,2008,23(5).
Authors:LIU Sheng-wen  QIAO Shu-bin  XU Bo  
Institution:LIU Sheng-wen,QIAO Shu-bin,XU Bo,et al.Coronary Heart Disease Center,Cardiovascular Institute , Fu Wai Hospital,CAMS , PUMC,Bejing (100037),China
Abstract:Objective:To compare the single vessel stenting with multivessel stenting in short-term and long-term clinical outcomes for coronary artery disease (CAD) treatment in female patients. Methods:A total of 486 female patients admitted in our hospital from April 2004 to April 2005 who underwent stent implantation for coronary artery stenosis treatment were enrolled in this study. The patients were divided into two groups according to the number of vessels involved:single vessel group (n=344) and multiple vessel...
Keywords:Female patient  Coronary artery disease  Stent  Major adverse cardiac events  
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