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他汀类药物对Stanford B型主动脉夹层患者主动脉腔内修复术疗效的影响

张磊 刘艳杰 王效增 何瑞霞 周铁楠 王雅 荆全民

中国实用内科杂志2017,Vol.37Issue(7):652-655,4.
中国实用内科杂志2017,Vol.37Issue(7):652-655,4.DOI:10.19538/j.nk2017070120

他汀类药物对Stanford B型主动脉夹层患者主动脉腔内修复术疗效的影响

Effect of atatins on long-term outcomes in patients with stanford b aortic dissection treated with endovascular aortic repair

张磊 1刘艳杰 1王效增 1何瑞霞 1周铁楠 1王雅 1荆全民1

作者信息

  • 1. 沈阳军区总医院心内科,辽宁沈阳110016
  • 折叠

摘要

Abstract

Objective To determine whether statin intake is associated with improved in-hospital and long-term outcomes for Stanford type B aortic dissection treated with endovascular aortic repair.Methods From April 2002 to October 2013,a total of 388 patients with Stanford B aortic dissection treated with endovascular repair in General hospital of Shenyang Military Region,of whom 118 were taking statins and 270 were not,to access clinical features,in-hospital and late outcomes during follow-up for 3 years.Results In clinical characteristics,age,the incidence of diabetic and stroke were similar in two groups.Statin group with hypertension,coronary heart disease and intaking Aspirin were higher.There were no significant difference between two groups in other clinical characteristics.There were no significant difference in stentgrafts characteristics and in-hospital complication.During follow-up,compared with statin group,the complication of all-cause mortality,reintervention,coronary disease,cerebrovascular diseases in non statin group had no significant difference in in-hospital and late term outcomes.On Kaplan-Meier analysis,the survival rate of patients between two groups had no significant difference(P=0.472).Conclusions In general,we conclude that statin therapy at the beginning of the trial is not independently associated with improved in-hospital and long-term survival for Stanford type B aortic dissection treated with endovascular aortic repair.

关键词

他汀类药物/主动脉夹层/主动脉腔内修复术

Key words

statin drug/aortic dissection/endovascular aortic repair

分类

医药卫生

引用本文复制引用

张磊,刘艳杰,王效增,何瑞霞,周铁楠,王雅,荆全民..他汀类药物对Stanford B型主动脉夹层患者主动脉腔内修复术疗效的影响[J].中国实用内科杂志,2017,37(7):652-655,4.

基金项目

辽宁省科技计划项目(2012225009) (2012225009)

中国实用内科杂志

OACSCDCSTPCD

1005-2194

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