中国老年保健医学Issue(3)：25-27,3.DOI:10.3969/j.issn.1672-4860.2015.03.009
冠状动脉支架植入术后支架内再狭窄的影响因素分析
Analysis on influencing factors of ISR after coronary stent implantation
摘要
Abstract
Objectives To explore the influencing factors of postoperative in-stent restenosis ( ISR) after coronary stent implan-tation in patients with coronary heart disease ( CHD).Methods A total of 120 CHD patients undergoing percutaneous coronary in-tervention ( PCI) were selected and given reexamination with coronary angiography ( CAG) within 6~12 months.All patients were divided into ISR group (32 cases) and non-ISR group (88 cases) according to the presence of ISR.The clinical data, the charac-teristics of target vascular lesion and intents, left ventricular ejection fraction ( LVEF) before intent implantation and clinical serum indexes of both groups were observed, and ISR-associated relevant influencing factors were analyzed.Results ISR group was evi-dently higher in the ratio of patients with smoking history and diabetes and the fibrinogen ( FIB) level ( P<0.05 or P<0.01) , ob-viously larger in coronary artery Gensini score, preoperative stenosis severity and intent length (P<0.05 or P<0.01), but marked-ly less in intent diameter than non-ISR group (P<0.05).Logistic regression analysis showed that smoking, diabetes, coronary ar-tery Gensini score and larger preoperative stenosis severity and intent length were the risk factors while longer intent diameter the protective factor for the development of ISR.Conclusions Smoking, diabetes, coronary artery Gensini score, preoperative stenosis severity and intent length and diameter are in close association with the development of ISR.关键词
冠状动脉粥样硬化性心脏病/经皮冠状动脉介入术/冠状动脉造影/药物洗脱支架Key words
Coronary atherosclerotic heart disease/percutaneous coronary intervention/coronary angiography/drug eluting stent引用本文复制引用
张若青,陈浩,杨春燕,郑丽娟..冠状动脉支架植入术后支架内再狭窄的影响因素分析[J].中国老年保健医学,2015,(3):25-27,3.基金项目
中国高校医学期刊临床专项资金 （）
