冠脉造影SYNTAX积分对老年冠心病患者经皮冠状动脉介入治疗预后的预测效果.docVIP

冠脉造影SYNTAX积分对老年冠心病患者经皮冠状动脉介入治疗预后的预测效果 　　[摘要] 目的 探讨冠脉造影SYNTAX积分对老年冠心病患者经皮冠状动脉介入治疗（PCI）预后的预测效果。 方法 分析四川省资阳市第一人民医院心血管内科2013年1月～2014年2月接受PCI治疗的400例老年冠心病患者的临床资料，依据SYNTAX积分进行分组，低分组123例，中分组160例，高分组117例。观察三组患者PCI治疗前、治疗1年后左心室射血分数（LVEF）、每搏量（SV）、心排血量（CO）和左心室舒张末内径（LVEDD）情况；记录三组患者不良心血管事件和住院情况。 结果 三组治疗1年后LVEF、SV、CO和LVEDD均优于治疗前，高分组患者治疗1年后LVEF、SV、CO和LVEDD均优于低分组、中分组，高分组患者不良心血管事件发生率均高于低分组、中分组，高分组患者住院频次和住院时间均高于或长于低分组、中分组，差异均有统计学意义（均P 0.05）。 结论 冠脉造影SYNTAX积分对接受PCI治疗的老年冠心病患者的预后有一定的指导作用，可以为临床治疗提供可靠的理论依据。 　　[关键词] 冠脉造影；SYNTAX积分；老年；冠心病；经皮冠状动脉介入；预后 　　[中图分类号] R541.5 [文献标识码] A [文章编号] 1673-7210（2016）01（b）-0121-04 　　[Abstract] Objective To investigate the predictive effect of SYNTAX scores of coronary angiogram for the prognosis after percutaneous coronary intervention （PCI） in elderly patients with coronary heart disease. Methods The clinical data of 400 cases of elderly patients with coronary heart disease receiving PCI from January 2013 to February 2014 in Department of Cardiovasology of the First Peoples Hospital of Ziyang City was analyzed. The patients were divided into three groups according to SYNTAX scores， which were low-score group （123 cases）， middle-score group （160 cases）， high-score group （117 cases）. The left ventricular ejection fraction （LVEF）， stroke volume （SV）， cardiac output （CO） and left ventricular end diastolic diameter （LVEDD） of three groups before PCI treatment and after PCI treatment for 1 year were observed， and the adverse cardiovascular events and hospitalization of the three groups were detected. Results The LVEF， SV， CO and LVEDD of the three groups after PCI treatment for 1 year were all better than those before PCI treatment， the LVEF， SV， CO and LVEDD of high-score group after PCI treatment for 1 year were all better than those of low-score group and middle-score group， the incidence of adverse cardiovascular events of high-score group were all higher than those of low-score group and middle-score group， the frequency of hospitalization and hospital s