[1]廖丽萍,周跟东,张晓红.TyG指数对急诊PCI术后ACS患者预后的预测价值[J].医学信息,2021,34(04):123-125.[doi:10.3969/j.issn.1006-1959.2021.04.032]
　LIAO Li-ping,ZHOU Gen-dong,ZHANG Xiao-hong.The Predictive Value of TyG Index on the Prognosis of ACS Patients After Emergency PCI Surgery[J].Medical Information,2021,34(04):123-125.[doi:10.3969/j.issn.1006-1959.2021.04.032]
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TyG指数对急诊PCI术后ACS患者预后的预测价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
123-125
栏目:
论著
出版日期:
2021-02-15

文章信息/Info

Title:
The Predictive Value of TyG Index on the Prognosis of ACS Patients After Emergency PCI Surgery
文章编号:
1006-1959（2021）04-0123-03
作者:
廖丽萍; 周跟东; 张晓红
（安徽医科大学第三附属医院/合肥市第一人民医院心内科，安徽 合肥 230061）
Author(s):
LIAO Li-ping; ZHOU Gen-dong; ZHANG Xiao-hong
(Department of Cardiology,the Third Affiliated Hospital of Anhui Medical University/Hefei First People’s Hospital, Hefei 230061,Anhui,China)
关键词:
急性冠状动脉综合征; PCI术; TyG指数; 不良心血管事件
Keywords:
Acute coronary syndrome; PCI surgery; TyG index; Adverse cardiovascular events
分类号:
R654.2
DOI:
10.3969/j.issn.1006-1959.2021.04.032
文献标志码:
A
摘要:
目的 探讨血清甘油三酯与葡萄糖乘积（TyG）指数对行经皮冠脉介入治疗（PCI）的急性冠脉综合征患者预后的预测价值。方法 回顾性分析2018年9月~2019年9月在安徽医科大学第三附属医院收治的220例急性冠脉综合征患者的临床资料，根据患者入院时急诊血生化结果计算出TyG指数，按中位数水平将患者分为低TyG指数组（n=106）与高TyG指数组（n=114）。比较两组6个月内发生全因死亡、再发急性心肌梗死、血运重建、支架内血栓形成等不良事件发生率，采用多因素Logistic回归分析急性冠脉综合征患者预后不良事件的影响因素。结果 214例患者最终完成随访或达到终点事件，脱落的6例患者中高TyG组失访2例，低TyG指数组失访4例。低TyG指数组全因死亡、心肌梗死、血运重建和支架内血栓形成率均低于高TyG指数组，差异有统计学意义（P＜0.05）。Logistic回归分析显示，TyG指数是行急诊PCI手术治疗的急性冠状动脉综合征患者发生全因死亡、再发心肌梗死、血运重建、支架内血栓形成的独立预测因素。结论 TyG指数能够独立预测行急诊PCI手术的急性冠状动脉综合征患者不良心血管的事件发生风险。
Abstract:
Objective To explore the predictive value of serum triglyceride and glucose product (TyG) index for the prognosis of patients with acute coronary syndrome undergoing percutaneous coronary intervention (PCI).Methods A retrospective analysis of the clinical data of 220 patients with acute coronary syndrome admitted to the Third Affiliated Hospital of Anhui Medical University from September 2018 to September 2019.The TyG index was calculated according to the emergency blood biochemical results at the time of admission, and the patients were divided into low TyG index group (n=106) and high TyG index group (n=114) according to the median level.The incidence of adverse events such as all-cause death, recurrence of acute myocardial infarction, revascularization, and stent thrombosis within 6 months were compared between the two groups. Multivariate Logistic regression was used to analyze the factors affecting the prognosis of patients with acute coronary syndrome.Results 214 patients finally completed the follow-up or reached the end-point event. Among the 6 patients who fell out, 2 were lost to follow-up in the high TyG group and 4 in the low TyG index group.The rates of all-cause death, myocardial infarction, revascularization, and stent thrombosis in the low TyG index group were lower than those in the high TyG index group,the difference was statistically significant (P<0.05).Logistic regression analysis showed that TyG index is an independent predictor of all-cause death, recurrence of myocardial infarction, revascularization, and stent thrombosis in patients with acute coronary syndrome undergoing emergency PCI surgery.Conclusion TyG index can independently predict the risk of adverse cardiovascular events in patients with acute coronary syndrome undergoing emergency PCI.

参考文献/References:

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更新日期/Last Update: 1900-01-01