摘要
Abstract
Objective To investigate the predictive value and influencing factors of thrombelastography(TEG) on the prognosis of patients undergoing percutaneous coronary intervention(PCI).Methods One hundred and fifteen patients who were treated with PCI from August 2015 to September 2016 were selected.According to the maximum blood clot strength(MA-ADP),the patients were divided into MA ADP＜50 mm group(n =101) and MA-ADP≥50 mm(n=14).Patients were accepted the relevant inspection after admission,according to the results of the examination,TEG was used to evaluate the treatment and guidance.Results Univariate analysis showed that the incidence of adverse events had no correlation with diabetes mellitus,dyslipidemia and TIMI grade of the two groups(P＞0.05).The rates of hypertension,numbers of circumflex artery infarction and level of platelet of the group of MA-ADP＜50 mm were significantly higher than that of the group of MA-ADP＜50 mm.The multivariate analysis showed that the incidences of adverse events were related with hypertension,numbers of circumflex artery infarction and level of platelet(P＜0.05).Before treatment,patients in the group of MA-ADP＜50 mm had no significant difference with group of MA-ADP≥50 mm in R value,K value and a angle.After the treatment,R value,K value and α angle of the group of MA-ADP＜50 mm were significantly higher than that of the group of MA ADP≥50 mm(P＜0.05),and MA value in the group of MA-ADP＜50 mm was significantly lower than that of the group of MA-ADP≥50 mm(P＜0.05).The incidences of cardiovascular events,stent restenosis and stent restenosis after one year of treatment in group MA-ADP＜50 mm group were significantly higher than MA-ADP ≥50 mm group (P＜0.05).Conclusion TEG is an ideal method for percutaneous coronary intervention.It could guide and predict the incidence of complications,which makes the treatment more targeted and worthy of popularization and application.关键词
血栓弹力图/经皮冠状动脉介入治疗/预测价值Key words
thrombelastography/percutaneous coronary intervention therapy/predictive value/complications
