基线Gensini评分对冠状动脉狭窄进展的预测价值研究
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Predictive Value of Baseline Gensini Score for Coronary Artery Stenosis Progression
SU Lichen1，DUAN Yunzhen1，DU Yunfei1，JIANG Mingyang1，LIU Ruifeng² （1.The Second Clinical MedicalColegeof Capital Medical University（Beijing Friendship Hospital），Beijing10050， China；2.Departmentof Cardiology，BeijingFriendship Hospital，CapitalMedical UniversityBeijing Oo5o，China）
【Abstract】ObjectiveToinvestigatethecorelationanddiagnosticvalueofbaselineGensiniscoreinpredictingcoronaryartery stenosisprogresioninpatiantswithcoronaryarterydisease（CAD）.MethodsThisretrospectivecase-controlstudyincluded33AD patientswhowerediagnosedndospitalizedatBeijingFriendshipHospitalfromJanuarO18toDecember23.Baselinecliicaldataand laboratorytestsultsereolted，ndaselinGesinioreaslulated.oroaryrterysteosisseverityasssesedsingesini scoreandcoarteyeossgesafdyteeoldosts（ssiegesiod casesntheno-progresiongroup）PtintsredividedintotregroupsbasedoetertilesoftheirbaselineGensinisoesGoup （Gensini score<46. 00，n=117 ），Group2（ 46.00⩽ Gensini score<64.50， n=107 ），and Group 3（Gensini score ⩾ 64.50，n=109）.Logistic regresionmodelswereusedtoanalyzethelatioshipetweenbaselineGensinisoreandoroaryaterystenosisprogressonstrcd cubicspline（RCS）analysisasapplidtoexplorepotentialon-nearelatioshipsandthepredictieprfoanceofaselineGesini scorefororoyrteyseosisrgesoasaatedesltsogistgessalsssowdioelatogr baselineGensinisoreandincreasediskofcoroaryaerystenosisprogesionRCSanalysisrevealedann-linearelaioshipbetween baseline Gensini score and coronary artery stenosis progression risk （ P for non-linear trend 54.384 is a signficantriskfactorfortoroaryteysteossprogessioWitinteangeof5484to9.24aposiieo-laraiop existsbetweentesoeandteprogiosk.aseeGsinscoecaneusedtodntfg-riskpatitsihoroaryteysteosis progression，providingabasis for early intervention.
【Keywords】CoronaryarterydiseaseGensiniscoreCoronaryarterystenosisprogresson;Non-iearelationship;Riskprdiction
冠心病（coronaryarterydisease，CAD）是一种常见的心血管疾病，其发病率和致死率在全球范围内居高不下，严重威胁公众健康[1]。（剩余10498字）
