PCI术后急性心肌梗死患者再发影响因素分析

发布时间：2018-05-18 10:32

本文选题：急性心肌梗死 + 冠脉介入治疗(PCI)　；参考：《中国公共卫生》2016年04期

【摘要】：目的探讨急性心肌梗死(AMI)患者出现再发性梗死相关影响因素。方法选择2011年1月—2013年12月首次在中国医科大学附属第一医院循环内科接受冠脉介入治疗(PCI)术的AM I患者作为研究人群,1年后对其进行随访,按照是否再发分为病例组和对照组。利用病历收集记录符合条件的AM I患者的相关临床资料和电话随访方式获取其术后生活习惯及服药情况等基本资料。结果病例组与对照组之间年龄、吸烟史、饮酒史、收缩压(SBP)水平、Killip心功能分级、高血压病史和糖尿病病史、甘油三酯(TG)水平、低密度脂蛋白(LDL-C)水平、梗死后心绞痛、狭窄血管数、术后服药情况和术后体育锻炼,差异均有统计学意义(P0.05)。结论 SBP、Killip心功能分级、高血压病史、梗死后心绞痛和术后服药情况是AM I患者支架植入后是否再发的影响因素。
[Abstract]:Objective to investigate the related factors of recurrent infarction in patients with acute myocardial infarction (AMI). Methods from January 2011 to December 2013, patients with AM I received coronary intervention therapy (PCI) for the first time in the Department of Circulation, first affiliated Hospital of China Medical University, and were followed up for one year. Patients were divided into case group and control group according to whether they were recurrent. The relevant clinical data and telephone follow-up data of eligible AM I patients were collected and the basic data of their postoperative life habits and medication were obtained by means of medical records. Results the age, smoking history, drinking history, systolic blood pressure (SBP), Killip cardiac function grade, history of hypertension and diabetes, triglyceride (TG), low density lipoprotein (LDL-C), postinfarction angina pectoris were measured between the case group and the control group. There were significant differences in the number of stenosis vessels, the drug taking and physical exercise after operation (P 0.05). Conclusion SBP+ Killip cardiac function classification, hypertension history, post-infarction angina pectoris and postoperative medication are the influencing factors for the recurrence of stenting in patients with AM I.
【作者单位】：中国医科大学附属第一医院临床流行病与循证医学教研室;中国医科大学附属第一医院体检中心;
【分类号】：R542.22

【相似文献】