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表面动脉干预后营养状况和炎症过程死亡率的相互影响:NAPLES评分

Tugba Aktemur¹, Mehmet Altunova¹, Omer Tasbulak¹

¹Department of Cardiology, Mehmet Akif Ersoy Thorasic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Acta Cardiologica Sinica

|March 24, 2025

概括

纳普尔斯得分 (NPS) 有效地预测了经过皮肤干预的表面大腿动脉狭窄患者的长期死亡率. 较高的NPS表明死亡风险增加,需要更严格的风险因素管理.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
健康结果研究研究结果

背景情况:

表面关动脉 (SFA) 狭窄是外周动脉疾病中普遍存在的疾病.
通过皮肤治疗SFA狭窄症的截肢率与开放手术相比较.
预测不良结果的因素包括慢性病和营养不良.

研究的目的:

评估NAPLES得分 (NPS) 在预测长期死亡率方面的有效性.
评估NPS在接受皮肤间干预的SFA狭窄症患者中的作用.

主要方法:

分析了一组567名接受皮肤穿SFA狭窄症治疗的患者.
患者被分为低NPS (0-2) 和高NPS (3-4) 组.
主要终点是死亡率;次要终点包括血栓形成,复原和并发症.

主要成果:

高NPS群体的死亡率明显较高 (34%对16.3%,p < 0.05).
多变量分析确定了年龄,慢性病,鲁瑟福类5-6类,高C反应蛋白和高NPS作为独立死亡率预测因素.
较高的NPS独立地与增加的死亡风险相关 (HR:1.748,p = 0.005).

结论:

纳普尔斯评分 (NPS) 是预测SFA狭窄症患者的长期死亡率的一个有价值的工具.
患有高NPS的患者需要更密集地管理他们的危险因素.

关键词:

死亡率死亡率死亡率拿破得分拿破得分表面的股骨动脉狭窄的情况.

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