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中华心脏与心律电子杂志 ›› 2017, Vol. 05 ›› Issue (04) : 225 -228. doi: 10.3877/cma.j.issn.2095-6568.2017.04.011

所属专题: 文献

论著

冠脉慢血流现象相关预测因素的研究
薛宇龙1, 李学文1,()   
  1. 1. 030032,太原,山西医科大学附属大医院心内科
  • 出版日期:2017-12-25
  • 通信作者: 李学文

Study on the Predictors of Coronary Slow Flow Phenomenon

Yulong Xue1, Xuewen Li1,()   

  1. 1. Department of Cardiology, Affiliated Da Hospital of Shanxi Medical University, Taiyuan 030032, China
  • Published:2017-12-25
  • Corresponding author: Xuewen Li
  • About author:
    Corresponding author: Li Xuewen, Email:
引用本文:

薛宇龙, 李学文. 冠脉慢血流现象相关预测因素的研究[J]. 中华心脏与心律电子杂志, 2017, 05(04): 225-228.

Yulong Xue, Xuewen Li. Study on the Predictors of Coronary Slow Flow Phenomenon[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2017, 05(04): 225-228.

目的

研究冠状动脉慢血流现象(CSFP)相关预测因素,为CSFP的预防和诊治提供依据。

方法

回顾性分析2012年10月至2017年6月山西大医院心血管内科收治的因"胸闷" "胸痛"等原因行冠状动脉造影术的患者60例临床资料,根据患者是否存在冠脉慢血流现象分为冠脉慢血流现象组(CSFP组)和正常人组(对照组),每组30例,对两组患者的一般资料、实验室检查进行统计分析,Logistic多因素回归分析冠状动脉慢血流现象相关预测因素。

结果

CSFP组患者中男性、有吸烟史比例均显著高于对照组(P<0.05),年龄、吸烟指数均显著高于对照组(P<0.05),烟龄显著长于对照组(P<0.05),高密度脂蛋白水平均显著低于对照组(P<0.05),肌酐、尿酸、血红蛋白水平均显著高于对照组(P<0.05),但两组患者的三酰甘油、低密度脂蛋白、谷丙转氨酶、谷草转氨酶、C反应蛋白、空腹血糖、血钾、肌酸激酶同工酶、肌钙蛋白、脑钠肽前体、血小板计数、白细胞计数、射血分数、高血压病史、糖尿病病史、总胆固醇之间的差异均不显著(P>0.05)。Logistic多因素回归分析显示,CSFP相关预测因素包括烟龄、尿酸、高密度脂蛋白(P<0.05)。

结论

烟龄、尿酸水平升高、低高密度脂蛋白水平为CSFP相关预测因素。

Objective

To study the predictors of slow flow of coronary artery, To provide reference for the prevention, diagnosis and treatment of CSFP.

Methods

The clinical data of 60 cases of analysis from October 2012 to June 2017 due to "chest pain" and other reasons in the Shanxi hospital for coronary angiography of epicardial coronary artery stenosis was less than 40% were retrospectively analyzed, they were divided into CSFP group (CSFP group, n=30) and normal one group (control group, n=30) two groups according to whether the patients had coronary slow flow phenomenon.The general data and laboratory examination of the two groups were statistically analyzed, the predictors of slow flow of coronary artery were Logistic multivariate regression analyzed.

Results

The proportion of men and smoking history of the CSFP group were significantly higher (P<0.05), the age and smoking index were significantly higher (n<0.05), the smoking duration was significantly longer (n<0.05), the high-density lipoprotein were significantly lower (n<0.05), and the creatinine, uric acid and hemoglobin levels were significantly higher than the control group (n<0.05), but the differences of ejection fraction, history of hypertension and diabetes, total cholesterol, triglyceride, low density lipoprotein, alanine aminotransferase, aspartate aminotransferase, C reactive protein, fasting blood glucose, serum potassium, CK-MB, troponin, brain natriuretic peptide, platelet counts, white blood cell counts between the two groups were not significant (n>0.05). Logistic multivariate regression analysis showed that the related predictors of coronary slow flow phenomenon included tobacco age, uric acid and high-density lipoprotein (n<0.05).

Conclusion

tobacco age, uric acid level and Low high density lipoprotein level were the predictors of CSFP.

表1 两组患者的一般资料比较
表2 两组患者的实验室检查比较(±s)
表3 冠状动脉慢血流现象相关预测因素的Logistic多因素回归分析
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