类风湿性关节炎对冠状动脉病变的影响研究-第三军医大学学报.docVIP

冠心病合并类风湿性关节炎患者的冠脉病变及介入治疗特点 周大燕 黄晶* 邓昌明 刘地川 盛娓娓 （重庆医科大学附属第二医院心内科 重庆 400010） 【摘要】目的探讨。方法2005年2008年12月收治的12例临床确诊为类风湿性关节炎，并且冠状动脉造影确诊为冠心病的患者，。结果）））））。结论冠状动脉病变严重程度。【关键词】；；characteristics of coronary artery lesions and interventional treatment of the patients with coronary artery disease and rheumatoid arthritis ZHOU Da-yan,HUANG Jing,DEN Chang-ming,LIU Di-chuan，SHENG wei-wei (Department of Cardiology,The Second Affiliated Hospital of Chongqing University of Medical Sciences, chongqing 400010,China) Abstract: Objective To discuss the characteristics of coronary artery lesions and interventional treatment of the patients with coronary artery disease and rheumatoid arthritis(RA). Methods 12 cases with rheumatoid arthritis and coronary artery disease diagnosed by coronary angiogram were opted from May 2005 to July 2008 in several hospital of Chongqing and 15 age-and sex-matched cases of non-rheumatoid Arthritis and coronary artery disease diagnosed by coronary angiogram as a control group.We retrospectively studied the two groups in age, sex, blood lipid, coronary lesion counting, the nature of *通讯作者： huangjingz@ coronary artery lesion, the degree of coronary artery stenosis, the number of stents implanted and the largest atmospheric pressure of balloon dilatation with SPSS software analysis to determine the characteristics of coronary artery lesions of the patients with coronary heart disease and rheumatoid arthritis. Results There were no statistical significance between two groups in age,sex, total cholesterol,low-density lipoprotein(LDL), white blood cell counting, coronary lesion counting and the number of stents implantation (p 0.05).However the study group were more likely to have serious coronary artery lesion and the coronary artery stenosis were more significant compared with controls (p 0.05).Moreover the study group needed larger atmospheric pressure of balloon dilatation(p0.05).And the study groups neut