首页|总胆固醇/高密度脂蛋白胆固醇比值预测下肢动脉硬化闭塞症术后支架内再狭窄研究

总胆固醇/高密度脂蛋白胆固醇比值预测下肢动脉硬化闭塞症术后支架内再狭窄研究

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目的 探讨总胆固醇/高密度脂蛋白胆固醇(TC/HDL-C)比值预测下肢动脉硬化闭塞症(ASO)术后支架内再狭窄的价值。方法 收集平煤神马医疗集团总医院在2019年1月至2022年8月期间收治的51例下肢ASO术后支架内再狭窄患者的临床资料,纳入再狭窄组;另收集医院同期收治的51例下肢ASO术后支架内未发生支架内再狭窄患者的临床资料,纳入非再狭窄组,均完成术后3个月随访。由研究者查阅患者的基线资料并做详细统计,观察两组患者TC/HDL-C比值情况,分析TC/HDL-C比值与ASO术后支架内再狭窄的关系,并探讨TC/HDL-C比值对ASO术后支架内再狭窄的预测价值。结果 再狭窄组患者TC、TC/HDL-C比值高于非再狭窄组,HDL-C低于非再狭窄组(P<0。05);组间年龄、性别、体重指数、合并高血压、合并糖尿病、Fontaine分期、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、血小板计数(PLT)、红细胞计数(RBC)比较无明显差异(P>0。05)。经点二列相关性分析,TC、TC/HDL-C比值与下肢ASO术后支架内再狭窄呈正相关(r>0,P<0。05),HDL-C与下肢ASO术后支架内再狭窄呈负相关(r<0,P<0。05)。绘制受试者工作特征(ROC)曲线发现,TC、HDL-C、TC/HDL-C比值预测下肢ASO术后支架内再狭窄价值的曲线下面积(AUC)均>0。7,具有一定的预测价值,其中TC/HDL-C比值的预测价值最高。结论 TC/HDL-C比值与下肢ASO患者术后支架内再狭窄有关,且该比值可用于预测术后支架内再狭窄风险。
Total Cholesterol/High Density Lipoprotein Cholesterol Ratio to Predict In-stent Restenosis in Patients with Arteriosclerosis Obliterans
Objective To investigate the predictive value of total cholesterol/high density lipoprotein cholesterol(TC/HDL-C)ratio for in-stent restenosis after lower limb arteriosclerosis obliterans(ASO)surgery.Methods The clinical data of 51 patients with in-stent restenosis after ASO in lower limbs admitted to the General Hospital of Shenma Medical Group in Pingmei from January 2019 to August 2022 were collected and included in the restenosis group.In addition,the clinical data of 51 patients with no in-stent restenosis after lower limb ASO were collected and included in the non-restenosis group.All patients were followed up for 3 months after operation.The baseline data of the patients were reviewed by the researchers and detailed statistics were made.The TC/HDL-C ratio of the two groups was observed,and the relationship between TC/HDL-C ratio and in-stent restenosis after ASO was analyzed,and to explore the predictive value of TC/HDL-C ratio for in-stent restenosis after ASO.Results The ratio of TC and TC/HDL-C in the restenosis group was higher than that in the non-restenosis group,and HDL-C was lower than that in the non-restenosis group(P<0.05).There was no significant difference in age,sex,body mass index,hypertension,diabetes,Fontaine stage,triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),platelet count(PLT),and red blood cell count(RBC)between the two groups(P>0.05).Through point binary correlation analysis,TC,TC/HDL-C ratio were positively correlated with in-stent restenosis after lower limb ASO(r>0,P<0.05),while HDL-C was negatively correlated with in-stent restenosis after lower limb ASO(r<0,P<0.05).Drawing the receiver's operating characteristic(ROC)curve,it was found that the area under the curve(AUC)of TC,HDL-C,TC/HDL-C ratio to predict the value of in-stent restenosis after lower limb ASO was more than 0.7,which had a certain predictive value,with the highest predictive value of TC/HDL-C ratio.Conclusion The ratio of TC/HDL-C is related to in-stent restenosis in patients with lower extremity ASO after operation,and this ratio can be used to predict the risk of in-stent restenosis after operation.

Lower Limbs Arteriosclerosis ObliteransTotal CholesterolHigh Density Lipoprotein Cholesterol

李书旺、牛国浩

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平煤神马医疗集团总医院普外科(河南平顶山 467000)

下肢动脉硬化闭塞症 总胆固醇 高密度脂蛋白胆固醇

2025

罕少疾病杂志
深圳市卫生局

罕少疾病杂志

影响因子:0.583
ISSN:1009-3257
年,卷(期):2025.32(1)