北华大学学报（自然科学版）2018，Vol.19Issue(1)：60-63,4.DOI:10.11713/j.issn.1009-4822.2018.01.012
心绞痛患者经PCI治疗后不良心脏事件与血清总胆红素水平相关性分析
Correlation between Adverse Cardiac Events and Serum Total Bilirubin Levels in Patients with Angina Pectoris after PCI Treatment
摘要
Abstract
Objective To analyze the correlation between the adverse cardiac events and serum total bilirubin levels in patients with angina pectoris after PCI treatment. Method 129 patients with angina pectoris were enrolled. According to the serum level of TBIL, patients were divided into control group and observation group, compared patients with laboratory indexes of two groups;compared patients with coronary artery angiography of two groups;compared patients underwent PCI of two groups;compared patients with adverse cardiovascular events (MACE) of two groups and Cox proportional hazards regression analysis. Results TC and TG level in the observation group were higher than those of the control group,the difference was statistically significant (P<0. 05);and the rest indexes ( blood glucose,Scr,Hb,LDL-C,HDL-C,AST) were compared between the two groups,there was no statistically significant difference ( P>0. 05 );to observe the difference between the groups of patients with coronary artery lesions and target lesion location,chronic occlusion and LVEF is less than or equal to 40％ and the control group had no statistical significance (P>0. 05);patients with stent length of the observation group are longer than those of the control group,the difference was statistically significant (P<0. 05);two groups with transradial PCI proportion, stent and stent diameter compared with the control group,the difference was not statistically significant (P>0. 05);postoperative patients in the observation group during the follow-up period, the incidence rate of MACE was 24. 1％,higher than 8. 4％ in the control group,the difference was statistically significant (P<0. 05). The results of regression analysis showed that serum TBIL level was the protective factor of MACE in patients with angina pectoris after PCI,and the length of stent implantation was a risk factor. Conclusion The lower the level of serum TBIL in patients with angina pectoris,the worse the prognosis is. The serum level of TBIL is the protective factor of PCI after PCI in patients with angina pectoris,and the length of stent implantation is a risk factor for MACE.关键词
心绞痛/经皮冠状动脉介入治疗/冠状动脉/总胆红素Key words
angina pectoris/percutaneous coronary intervention/coronary artery/total bilirubin分类
医药卫生引用本文复制引用
刘玲玲,宗斌,魏鹏..心绞痛患者经PCI治疗后不良心脏事件与血清总胆红素水平相关性分析[J].北华大学学报（自然科学版）,2018,19(1):60-63,4.基金项目
江苏省卫计委资助项目(20140165). （20140165）
