[1]余云华,姜梦妮,郑 兴.上海市户籍冠心病患者经皮冠状动脉介入治疗10年变化趋势研究[J].介入放射学杂志,2016,(04):298-301.
 YU Yun- hua,JIANG Meng- ni,ZHENG Xing.Study on the trend of percutaneous coronary intervention in the past 10 years in treating Shanghai patients with coronary heart disease at Changhai Hospital[J].journal interventional radiology,2016,(04):298-301.
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上海市户籍冠心病患者经皮冠状动脉介入治疗10年变化趋势研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年04期
页码:
298-301
栏目:
心脏介入
出版日期:
2016-04-25

文章信息/Info

Title:
Study on the trend of percutaneous coronary intervention in the past 10 years in treating Shanghai patients with coronary heart disease at Changhai Hospital
作者:
余云华 姜梦妮 郑 兴
Author(s):
YU Yun- hua JIANG Meng- ni ZHENG Xing
Department of Cardiovasology, Affiliated Changhai Hospital, Second Military Medical University, Shanghai 200433, China
关键词:
【关键词】 上海市户籍患者 冠心病 经皮冠状动脉介入治疗 变化趋势
文献标志码:
A
摘要:
【摘要】 目的 探讨10年来在第二军医大学附属长海医院接受经皮冠状动脉介入治疗(PCI)的上海市户籍(沪籍)冠心病患者临床特点及变化趋势。方法 回顾分析2003年和2013年全年收治并作直接冠状动脉内支架植入术的沪籍冠心病患者临床资料。比较2003年和2013年两组患者流行病学特征、血脂水平、冠状动脉病变、冠状动脉内支架植入情况及经济学指标差异。结果 入组患者共865例,其中2003年组188例,2013年组677例。2003年组与2013年组相比,>75岁老年人比例由21.8%增加至32.3%(P<0.05),患者血清高密度脂蛋白胆固醇由(1.12±0.26) mmol/L升高至(1.19±0.35) mmol/L(P<0.05),低密度脂蛋白胆固醇由(3.25±1.69) mmol/L下降至(2.54±0.88) mmol/L(P<0.05),复杂病变比例由23.4%增加至37.9%(P<0.01),Gensini积分由42.72±31.03增加至50.22±35.83(P<0.01),人均植入支架数由(1.39±0.63)枚增加至(1.58±0.79)枚(P<0.01),植入支架总长度由(28.31±15.01) mm增加至(38.92±22.49) mm(P<0.01),住院天数、入住冠心病监护治疗病房天数、住院总费用均下降(P<0.01)。结论 该院沪籍冠心病PCI治疗患者临床特点在10年间发生了明显变化:高龄患者比例增加、血脂情况明显改善、冠状动脉病变类型更加复杂,但手术并发症和住院总费用均明显降低。

参考文献/References:

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(收稿日期:2015?鄄10?鄄14)
(本文编辑:边 佶)

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备注/Memo

备注/Memo:
(收稿日期:2015-10-14)
(本文编辑:边 佶)
更新日期/Last Update: 2016-04-21