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目的 :探讨冠心病(CAD)经皮冠状动脉介入治疗(PCI)术后TDI-tei指数及NT-pro-BNP的变化,分析TDI-tei指数及NT-pro-BNP的变化对患者短期预后的预测价值。方法 :选取2015年1月~2015年12月长沙市第一医院80例成功接受冠心病PCI手术的患者为研究对象,测定PCI术前、术后24h TDI-tei指数及NT-pro-BNP值,根据术后TDI-tei指数及NT-pro-BNP值升高与否,分为TDI-tei指数升高组和不升高组,NT-pro-BNP值升高组和不升高组,并随访PCI术后患者180d内的主要不良心脏事件(MACE)。结果 :1.TDI-tei指数升高组与TDI-tei指数不升高组比较,临床不良心脏事件发生率较高;2.NT-pro-BNP值升高组与NT-pro-BNP值不升高组比较,临床不良心脏事件发生率较高;3.TDI-tei指数与NT-pro-BNP值均升高组与TDI-tei指数或NT-pro-BNP值仅一项指标升高组比较,临床不良心脏事件发生率较高。结论 :TDI-tei指数与NT-pro-BNP能预测PCI术后患者的短期预后,TDI-tei指数与NT-pro-BNP值联合能更全面准确地评估PCI术后冠心病患者的短期预后。
Objective: To investigate the changes of TDI-tei index and NT-pro-BNP after percutaneous coronary intervention (PCI) in patients with coronary heart disease (CAD). To analyze the changes of TDI-tei index and NT-pro-BNP in patients with short-term prognosis Predicted value. Methods: From January 2015 to December 2015, 80 patients with coronary heart disease undergoing PCI in Changsha First People’s Hospital were enrolled. Twenty-four TDI-tei index and NT-proBNP value According to the postoperative TDI-tei index and NT-pro-BNP value increased or not, it was divided into TDI-tei index elevated group and non-elevated group, NT-pro-BNP elevated group and non-elevated group, The patients were followed up for major adverse cardiac events (MACE) within 180 days after PCI. The incidence of adverse cardiac events was higher in the group with higher TDI-tei index than in the group with no TDI-tei index; 2. The values of NT-pro-BNP and NT-pro-BNP were not significant The incidence of adverse cardiac events was higher than that in the control group (P <0.05). 3.TDI-tei index and NT-pro-BNP were both increased in the group with only TDI-tei index or NT-pro-BNP In comparison, the incidence of clinical adverse cardiac events was high. Conclusion: The TDI-tei index and NT-pro-BNP can predict the short-term prognosis of patients after PCI. The combination of TDI-tei index and NT-pro-BNP can evaluate the short-term prognosis of patients with coronary heart disease after PCI more completely and accurately.