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Received:March 19, 2020 Published Online:December 20, 2020
Received:March 19, 2020 Published Online:December 20, 2020
中文摘要: 目的 探究冠状动脉扩张(CAE)对冠状动脉粥样硬化性心脏病(冠心病)患者的预后是否有影响。方法 回顾性收集2012年1月至2019年7月在宿迁市人民医院通过经皮冠状动脉造影术确诊的86例CAE患者,选择79例合并冠心病的患者作为研究组。另连续选择冠心病不合并CAE患者48例为对照组。收集所有患者的人口学资料、心血管风险因素、住院资料、随访期间主要心血管事件等。结果 在基本人口学资料和心血管危险因素方面,两组患者差异无统计学意义(P>0.05)。两组患者在冠脉造影特点和住院期间并发症的发生率方面差异无统计学意义(P>0.05)。但研究组未行PCI术的患者、植入支架数量均少于对照组,差异有统计学意义(P<0.05)。在随访期间主要心血管事件方面两组患者差异无统计学意义(P>0.05)。结论 冠状动脉扩张患者并不常见,但它增加了冠脉病变的复杂性,导致经皮冠脉治疗以及支架植入数量减少。但总体上CAE对冠心病患者的预后并没有明显影响。
中文关键词: 冠状动脉扩张 冠心病 预后;经皮冠状动脉介入治疗术;支架植入;并发症
Abstract:Objective To investigate the influence of coronary artery ectasia(CAE) on the prognosis of patients with coronary heart disease.Methods A total of 86 patients with coronary artery dilatation confirmed by percutaneous coronary angiography in Suqian People′s Hospital from January 2012 to July 2019 were retrospectively collected, among them 79 patients with CAE complicated with coronary heart disease were selected as the study group.The control group consisted of 48 patients with coronary atherosclerotic heart disease without CAE.Demographic data, cardiovascular risk factors, hospitalization data, major cardiovascular events during follow-up were collected. Results There was no significant difference in basic demographic data, cardiovascular risk factors, coronary angiography characteristics and incidence of complications during hospitalization between the two groups (P>0.05).The number of patients without PCI and the number of stents implanted in the study group were less than those in the control group (P<0.05).There was no significant difference in major cardiovascular events and readmission rate between the two groups during the follow-up period (P>0.05). ConclutionCAE is not common, but it increases the complexity of coronary lesions, leading to a reduction in the number of percutaneous coronary treatment and stent implantation.But in general, CAE has no significant effect on the prognosis of patients with coronary heart disease.
文章编号: 中图分类号:R543.3 文献标志码:B
基金项目:宿迁市产业发展引导资金(S201718)
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