残余SYNTAX评分在合并糖尿病与慢性肾功能不全的经皮冠状动脉介入治疗患者的应用价值研究

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【Abstract】ObjectiveTo exploretheapplicationvalue residual SYNTAXscore（rSS）inpatients withdiabetesandchronicrenal insuficiencyudergogpcutanouscoroayiteventio（C）todsissdyoledptintsodconcutabetes andchronicrenalinsuffciencyndunderwentPCIattheTirdPeople’sChengdubetweenJuly2O18andDecember200. Patients were divided into three groups based on rSS：Group a （ rSS=0，n=86 ），Group b（ 1⩽ 0 .SS⩽8，n=163 ），and Group c （ rSS⩾9，n= 132）.Theprimaryendpointasajoradversecardovascularvent（MACE）defiedsacompositeallausdeathrecuentyodial infarction，andpladevaslarizatiouringflloup.codarydpntsidedallausedathardiovasulrdatht myocardialinfarctionunplanedrevascularizationandnewapoplexyKaplan-Meiermethodwasusedtoplottheumulativesurvialuef patients，ndthepreditievefalprogsisasevauatedyuctkaractersticealysisResultsAotlf 381patients withacutecoronarysyndromewereincludedinthisstudy.Thepatients’agewas（72.8±8.9）years，and 6.8%thmwere male.The median follow-up period was 18.4 months，duringwhich 85 cases（ 22.3% ）experienced MACE.Compared to patientswithout MACE，those with MACE had a higher prevalence multivessel disease（ P=0.003 ），higher rSS（ P=0.003 ），and higher baseline SYNTAX score（ P<0.001 ）.TheincidenceMACE，cardiacdeathandunplannedrevascularizationincreasedwiththeincreaseSSlevel.Thearea theROCcurveforSpredictiACE，cadovaslardath，ndpladevaslarzationreO0，.64，ndO.61siely （all P<0. 05 ）.Patientsinthe highrSSgroup（Groupc）had significantlyhighercumulativeincidences MACE，al-causedeath， cardiovascular death，and unplanned revascularization compared to those in the low rSS group （Group a）（all P<0.05 ）. ConclusionrSS hasacertainpredictivevalueforlderlyacutecoroaysydromepatientswithdabetesandchoicenalisufcyitelpigtints

determine thereasonable level revascularization.

【Keywords】Residual SYNTAXscore;ereutaneouscoronary intervention;Diabetes;Chonicrenal insufficiency;Prognosis

随着社会经济发展和人口老龄化进程加速，冠心病、糖尿病在临床普遍存在，作为两种具有共同危险因素的代谢性疾病，它们相互作用，显著影响个体的身心健康[2]。（剩余9675字）