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冠心病患者手术所需指标与并发症的相关性分析

Correlation Analysis Between Required Surgical Indexes and Complications in Patients With Coronary Heart Disease.

作者信息

Tao Meiyi, Yao Xiaoling, Sun Shengli, Qin Yuelan, Li Dandan, Wu Juan, Xiong Yican, Teng Zhiyu, Zeng Yunfei, Luo Zuoheng

机构信息

Department of Nursing, Hunan Provincial People's Hospital (The First-Affiliated Hospital of Hunan Normal University), Changsha, China.

Department of Respiratory Medicine, Hunan Provincial People's Hospital (The first-Affiliated Hospital of Hunan Normal University), Changsha, China.

出版信息

Front Surg. 2022 Jul 6;9:948666. doi: 10.3389/fsurg.2022.948666. eCollection 2022.

DOI:10.3389/fsurg.2022.948666
PMID:35874136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9299069/
Abstract

A total of 215 patients with coronary heart disease (CHD) were analyzed with SPSS. Samples of different genders showed significance in the obtuse marginal branch of the left circumflex branch × 1, the diagonal branch D1 × 1, and the ms PV representation. Patients with left circumflex branch occlusion are more male and tend to be younger. Age displayed a positive correlation with left intima-media thickness (IMT) and right IMT. This indicated that as age increases, the values of left IMT and right IMT increase. Samples of different CHD types showed significance in the obtuse marginal branch of the left circumflex branch × 1, the middle part of RCA × 1, and the middle part of the left anterior descending branch × 1.5. For non-ST-segment elevation angina pectoris with acute total vascular occlusion, the left circumflex artery is the most common, followed by the right coronary artery and anterior descending branch. Ultrasound of carotid IMT in patients with CHD can predict changes in left ventricular function, but no specific correlation between left and right common carotid IMT was found. Samples with or without the medical history of ASCVD showed significance in the branch number of coronary vessel lesions. The value of the branch number of coronary vessel lesions in patients with atherosclerotic cardiovascular disease (ASCVD) was higher than in those without ASCVD. The occurrence of complication is significantly relative with the distance of left circumflex branch × 1, the middle segment of left anterior descending branch × 1.5, and the distance of left anterior descending branch × 1. For patients without complications, the values in the distal left circumflex branch × 1, the middle left anterior descending branch × 1.5, and the distal left anterior descending branch × 1 were higher than those for patients with complications. The VTE scores showed a positive correlation with the proximal part of RCA × 1, the branch number of coronary vessel lesions, the posterior descending branch of left circumflex branch × 1, the distal part of left circumflex branch × 1, and the middle part of left anterior descending branch × 1.5.

摘要

共对215例冠心病(CHD)患者进行了SPSS分析。不同性别的样本在左旋支钝缘支×1、对角支D1×1和ms PV表现方面存在显著差异。左旋支闭塞的患者男性居多且往往更年轻。年龄与左内膜中层厚度(IMT)和右IMT呈正相关。这表明随着年龄增长,左IMT和右IMT的值会增加。不同冠心病类型的样本在左旋支钝缘支×1、右冠状动脉中部×1和左前降支中部×1.5方面存在显著差异。对于非ST段抬高型心绞痛伴急性完全血管闭塞,左旋支动脉最为常见,其次是右冠状动脉和前降支。冠心病患者颈动脉IMT超声可预测左心室功能变化,但未发现左右颈总动脉IMT之间存在特定相关性。有或无动脉粥样硬化性心血管疾病(ASCVD)病史的样本在冠状动脉病变支数方面存在显著差异。动脉粥样硬化性心血管疾病(ASCVD)患者的冠状动脉病变支数高于无ASCVD者。并发症的发生与左旋支×1的距离、左前降支中段×1.5和左前降支×1的距离显著相关。对于无并发症的患者,左旋支远端×1、左前降支中段×1.5和左前降支远端×1的值高于有并发症的患者。VTE评分与右冠状动脉近端×1、冠状动脉病变支数、左旋支后降支×1、左旋支远端×1和左前降支中部×1.5呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0aa/9299069/e78c8b6e00bd/fsurg-09-948666-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0aa/9299069/e78c8b6e00bd/fsurg-09-948666-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0aa/9299069/e78c8b6e00bd/fsurg-09-948666-g001.jpg

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