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pci对单支病变acs患者ctni影响的分析word论文
AbstractObjective: In this study,we treated patients with ACS who had coronary artery single-vessel disease with PCI,then we detected cTnI before and after PCI,last we analysed correlation between levels of cTnI and intervention operational factors after PCI.Method: We selected 60 ACS patients with single-vessel disease,testing cTnI levels before and after PCI,then we detected and recorded various factors of surgical intervention during the PCI surgery.Finally,we analyze it with statistical method. Results: Values of cTnI is no statistical significant difference in gender,age.There is significant difference between 0 grade group,1 grade group,2 grade group,3 gradegroup in TIMI flow grade(P0.05).There is significant difference between 5s group,5s-10s group, ≥10s group in balloon dilatation total tim(eP0.05).There is significantdifference between 1-2 times group, 3 times group and ≥4 times group in balloon dilatation total times(P0.05).There is significant difference between 14/18mm group, 24/28mm group and 33/36mm group in stent length(P0.05).Abnormal rateof cTnI is no statistical significant difference in gender and age(P0.05). Abnormal rate of cTnI in TIMI flow grade is 75.0%(0 grade group),30.0%(1 grade group),22.7%(2 grade group)and 10.0%(3 grade group) .Abnormal rate of cTnI in thetotal time of balloon dilatation is 4.2%( 5s group), 29.2%(5-10s group), 83.3%(≥10s group). Abnormal rate of cTnI in the total number of balloon dilatation is 5.3%(1-2 times group), 13.6%(3 times group), 73.7%(≥4 times group). Abnormal rate of cTnI in stent length is 7.4%(14/18mm group), 43.3%(24/28mm group), 100%(33/36mm group). There is significant difference in some indexs which are TIMI grade, the total time of the balloon (s), the total times of balloon dilation, thelength of the stent (mm) released(P0.05).Conclusions: Patients with ACS who had coronary artery single-vessel disease with PCI,there is a significant relevant between TIMI flow grade, the total time of coronary balloon
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