休克指数与修正休克指数对急性非ST段抬高型心肌梗死预后的预测价值

发布时间：2018-05-10 14:13

本文选题：休克指数 + 修正休克指数　；参考：《广东医学》2017年06期

【摘要】：目的探讨对急性非ST段抬高型心肌梗死患者运用休克指数(SI)和修正休克指数(MSI)评估患者预后的价值。方法选取收治的危重性急性非ST段抬高型心肌梗死患者167例,根据患者预后分为两组,存活出院组128例,院内死亡组39例,观察两组患者一般资料,心率、收缩压、体温、SI及MSI等相关指标,统计并分析相关指标差异,以进一步评估SI与MSI评估其预后的价值。结果两组患者的一般资料以及心率、收缩压等指标比较差异无统计学意义(P0.05)。存活出院组患者的SI以及MSI(0.887±0.289和0.838±0.275)显著低于院内死亡组(1.112±0.431和1.032±0.402),统计学意义(P0.05)。MSI1.2的患者其死亡风险比为5.3,显著高于其他评价指标。结论 SI和MSI对准确评估急性非ST段抬高型心肌梗死患者预后风险因素有一定价值,MSI评估相对更为准确。
[Abstract]:Objective to evaluate the prognostic value of shock index (SI) and modified shock index (MSI) in patients with acute non-ST-segment elevation myocardial infarction (AMI). Methods 167 patients with critical acute non-ST-segment elevation myocardial infarction were divided into two groups according to the prognosis: 128 patients in the survival and discharge group and 39 patients in the hospital death group. The general data, heart rate and systolic blood pressure of the two groups were observed. In order to evaluate the prognostic value of SI and MSI, the differences of body temperature SI and MSI were analyzed and analyzed in order to evaluate the prognostic value of SI and MSI. Results there was no significant difference in general data, heart rate and systolic blood pressure between the two groups (P 0.05). The SI and MSI(0.887 卤0.289 and 0.838 卤0.275 of the patients in the alive and discharged group were significantly lower than those of the in-hospital death group (1.112 卤0.431 and 1.032 卤0.402). The mortality risk ratio of the patients with P0.05 and MSI 1.2 was 5.3, which was significantly higher than that of the other evaluation indexes. Conclusion SI and MSI are more accurate in evaluating prognostic risk factors in patients with acute non-ST-segment elevation myocardial infarction.
【作者单位】：承德医学院附属医院急诊科;丰宁满族自治县医院神经外科;北京军区总医院心内科;
【基金】：承德市科技支撑计划(编号:201601A035)
【分类号】：R542.22

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