天津医药

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左主干病变患者EURO和SYNTAX评分与临床因素的关系

马洪俊1,王林2,刘寅2   

  1. 1. 天津市大港油田总医院心血管一科
    2. 天津市胸科医院
  • 收稿日期:2011-09-27 修回日期:2011-12-01 出版日期:2012-03-15 发布日期:2012-03-15
  • 通讯作者: 马洪俊

Relationship between Clinical Characteristics and EURO Score and SYNTAX Score in Patients with Unprotected Left Main Disease

  • Received:2011-09-27 Revised:2011-12-01 Published:2012-03-15 Online:2012-03-15
  • Contact: Hongjun Ma

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摘要： 摘要 目的：观察经皮冠状动脉介入治疗无保护左主干病变患者的EURO评分、SYNTAX评分和临床因素的关系。方法:回顾性收集2006年1月～2010年7月在天津市胸科医院心内科住院治疗并随访成功的75例无保护左主干左冠状动脉主干病变(以下均简称为左主干病变)患者的临床资料，包括一般状况(性别、年龄、冠心病史等)，冠心病的危险因素(吸烟史、高血压史、糖尿病史、高胆固醇血症史及冠心病家庭族史等)，生化指标(血肌酐，血尿酸水平、胆固醇、LDL-c等)，心功能指标(左室舒张末径和左室射血分数)，并对患者进行EURO评分、SYNTAX评分，研究两种评分与临床因素的相关性。结果:SYNTAX评分与EURO评分成正相关(r=0.368，P<0.05)、与左室射血分数（LVEF）负相关(r=-0.282，P<0.05)、与左室舒张末期内径（LVDD）正相关(r=0.281，P<0.05)。结论：SYNTAXscore、EUROscore可以共同作为左主干病变介入治疗风险评估的依据，有实践应用价值。

关键词: 无保护左主干病变, 经皮冠状动脉介入治疗, EURO评分, SYNTAX评分

Abstract: Abstract Objective: To investigate the characteristics of patients with unprotected left main artery(UPLMA) disease and their relationship to EUROscore, coronary SYNTAXscore score.Methods: Clinical data of 75 patients’ with UPLM disease were retrospectively collected between January 2006 and July 2010 from the Department of Cardiology, Tianjin Chest Hospital. EUROscore, SYNTAXscore and their relationship with clinical characteristes were investigated.Results: SYNTAX Score is correlated with the EUROscore (r = 0.368, P<0.05), LVEF(r=-0.282，P<0.05); and LVDD(r=0.281，P<0.05).Conclusion：Both SYNTAXscore and EUROscore can serve as risk assessment in patients with left main disease.

Key words: Unprotected left main coronary disease, percutaneous coronary intervention, EUROscore, SYNTAXscore