冠脉慢性完全闭塞患者冠状动脉侧支循环生成的相关影响因素分析

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摘 要 目的：分析冠脉慢性完全闭塞（CTO）患者冠状动脉侧支循环（CCC）生成的状况，分析CCC生成的相关影响因素。方法：回顾性分析CTO患者的临床资料110例，分为无CCC生成组与CCC生成组。记录两组一般资料，采用logistic回归分析影响CTO患者CCC生成的影响因素。结果：110例患者中29例无CCC生成，81例有CCC生成；无CCC生成组有吸烟史、合并糖尿病占比及C反应蛋白（CRP）、促甲状腺激素（TSH）水平高于CCC生成组；游离三碘甲状腺原氨酸（FT3）水平低于CCC生成组（P1，P

关键词 冠脉慢性闭塞 冠状动脉侧支循环 影响因素

中图分类号：R541.3 文献标志码：A 文章编号：1006-1533（2024）15-0040-04

引用本文 武延海. 冠脉慢性完全闭塞患者冠状动脉侧支循环生成的相关影响因素分析[J]. 上海医药， 2024， 45（15）： 40-43.

Analysis of influencing factors related to coronary collateral circulation generation in patients with chronic total occlusion

WU Yanhai

（Department of Cardiology， the Second People’s Hospital of Xinxiang， Xinxiang 453000， China）

ABSTRACT Objective： To analyze the status of coronary collateral circulation （CCC） generation in patients with chronic total occlusion （CTO） and the relevant influencing factors of CCC generation. Methods： The clinical data from 110 CTO patients were retrospectively analyzed and the patients were divided into a no-CCC generation group and a CCC generation group. The general data of the two groups were recorded， and the influencing factors affecting CCC generation in CTO patients were analyzed by logistic regression. Results： There were 29 cases without CCC generation and 81 cases with CCC generation in 110 patients. The proportion of patients with smoking history and complicated by diabetes mellitus and the levels of C-reactive protein（CRP） and thyroid-stimulating hormone （TSH） were higher， and the level of free triiodothyronine （FT3） was lower in the noCCC generation group than the CCC generation group （P1， P

KEY WORDS chronic total occlusion； coronary collateral circulation； influencing factors

冠脉慢性完全闭塞（chronic total occlusion， CTO）为冠状动脉狭窄的最终状态，且闭塞时长超出至少3个月。（剩余6358字）