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冠心病患者PCI术后发生支架内再狭窄的影响因素分析

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目的 分析冠心病患者经皮冠状动脉介入(PCI)术后发生支架内再狭窄(ISR)的相关影响因素.方法 回顾性分析100例行PCI治疗的冠心病患者的临床资料,根据术后是否发生ISR分为发生组与未发生组,采用单因素分析和多因素Logis-tic回归分析探讨冠心病患者PCI术后发生ISR的危险因素.结果 单因素和多因素Logistic回归分析显示,合并糖尿病、合并高血压、PCI术支架直径<3.5 mm、支架长度≥30 mm、支架数量≥2枚均为冠心病患者PCI术后发生ISR的危险因素(P<0.05).结论 合并糖尿病、合并高血压、PCI术支架直径过小、支架长度过长、多支架置入与冠心病患者PCI术后发生ISR密切相关.
Analysis on the Influencing Factors for the Occurrence of In-Stent Restenosis After PCI in Patients with Coronary Heart Disease
Objective To analyze the related influencing factors for the occurrence of in-stent restenosis(ISR)after percutaneous coronary intervention(PCI)in patients with coronary heart disease.Methods The clinical data of 100 patients with coronary heart disease who underwent PCI were retrospectively analyzed.According to whether ISR occurred after PCI,patients were divided into the occurrence group and the non-occurrence group.Univariate analysis and multivariate Logistic regression analysis were used to explore the risk factors for the occurrence of ISR after PCI in patients with coronary heart disease.Results Univariate analysis and multivariate Logistic regression analysis showed that diabetes mellitus,hypertension,PCI stent diameter<3.5 mm,stent length ≥ 30 mm,and stent number ≥ 2 were risk factors for the occurrence of ISR after PCI in patients with coronary heart disease(P<0.05).Conclusions Diabetes mellitus,hypertension,too small stent diameter,too long stent length and multiple stent implantation are closely related to the occurrence of ISR after PCI in patients with coronary heart disease.

Coronary heart diseasePercutaneous coronary interventionIn-stent restenosisInfluencing factor

赵艳、杨杰、张继伟

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新乡市中心医院介入导管室,河南新乡 453000

新乡市中心医院介入特需病房,河南新乡 453000

新乡市中心医院介入急诊科,河南新乡 453000

冠心病 经皮冠状动脉介入 支架内再狭窄 影响因素

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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