| 冯怡,李昊旻,代传忠,李鹏鹏.RISK-PCT评分对冠心病患者PCI术后MACE的预测价值.[J].中南医学科学杂志.,2023,(4):575-578. |
| RISK-PCT评分对冠心病患者PCI术后MACE的预测价值 |
| Predictive value of RISK-PCT score for MAEC in patients with coronary heart disease after PCI |
| 投稿时间：2022-05-23 修订日期：2023-05-20 |
| DOI：10.15972/j.cnki.43-1509/r.2023.04.025 |
| 中文关键词: RISK-PCT评分 冠心病 PCI MACE [ |
| 英文关键词:RISK-PCT score coronary heart disease PCI MACE |
| 基金项目:聊城市医学科技发展项目(21L200256) |
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| 中文摘要: |
| 目的探讨RISK-PCT评分对冠心病患者经皮冠状动脉介入(PCI)术后主要心血管不良事件(MACE)的预测价值。 方法选择PCI术冠心病患者,将其分为MACE低中风险组和高风险组。搜集患者性别、年龄、合并糖尿病、合并高血压、冠状动脉病变支数、冠心病类型、NYHA心功能分级情况、以及空腹血糖、中性粒细胞/淋巴细胞比值。以电话随访、门诊复查、住院复查结合的形式获取患者PCI术后30天、3个月、6个月和1年MACE情况。 结果与低中风险组比较,高风险组年龄、合并糖尿病、术前空腹血糖和中性粒细胞/淋巴细胞比值差异有统计学意义(P＜0.05)。高风险组30天、3个月、6个月和1年MACE发生率高于低中风险组(P＜0.05)。ROC分析结果显示,RISK-PCI评分对冠心病患者PCI术后不同时间以及1年时不同类型MACE发生均有一定预测价值。 结论RISK-PCT评分可有效区分冠心病患者PCI术后MACE风险,对于术后MACE发生有一定预测价值。 |
| 英文摘要: |
| AimTo investigate the predictive value of RISK-PCT score for major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI) in patients with coronary heart disease. MethodsPatients with coronary heart disease undergoing PCI were selected and divided into MACE low, medium and high risk group. Gender, age, diabetes, hypertension, number of coronary artery lesions, type of coronary heart disease, NYHA cardiac function classification, fasting blood glucose, and neutrophil/lymphocyte ratio were collected. The MACE of patients 30 days, 3 months, 6 months and 1 year after PCI was obtained by telephone follow-up, outpatient review and hospitalization review. ResultsCompared with the low and middle risk group, there were significant differences in age, diabetes mellitus, preoperative fasting blood glucose and neutrophil/lymphocyte ratio in the high risk group (P＜0.05). The incidence of MACE at 30 days, 3 months, 6 months and 1 year in the high risk group was significantly higher than that in the low and middle risk group (P＜0.05). ROC analysis showed that RISK-PCI score had a certain predictive value for the occurrence of different types of MACE at different time and 1 year after PCI in patients with coronary heart disease. ConclusionThe RISK-PCT score can effectively distinguish the risk of MACE after PCI in patients with coronary heart disease, and thus may have a certain predictive value for the occurrence of postoperative MACE. |
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